Provider Demographics
NPI:1316072796
Name:HEALTH LABORATORIES SERVICES INC
Entity type:Organization
Organization Name:HEALTH LABORATORIES SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ DE VICTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-762-4786
Mailing Address - Street 1:PO BOX 3310
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3310
Mailing Address - Country:US
Mailing Address - Phone:787-762-4786
Mailing Address - Fax:787-752-3360
Practice Address - Street 1:CALLE MANUEL F. JUNCOS B-7
Practice Address - Street 2:URBANIZACION ROSA MARIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986
Practice Address - Country:US
Practice Address - Phone:787-757-5225
Practice Address - Fax:787-757-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR586291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20094OtherAMERICAN HEALTH PROV #
PR8462OtherIMC PROVIDER #
PR9850011OtherHUMANA
PR800072OtherMMM HEALTHCARE PROV #
PR20115EOtherPMC PROV #
PR400262OtherUTI PREFERRED PROV #
PR051792OtherCRUZ AZUL PROV #
PR31115ZOOtherTRIPLE S PROV #
PRLA-0273OtherPALIC PROV #
PR=========DOtherMAPFRE PROV #
PR9850011OtherHUMANA
PR=========4OtherMCS REG Y REFORMA PROV #
PR=========OtherCIGNA PROV #
PR051792OtherCRUZ AZUL PROV #
PR400262OtherUTI PREFERRED PROV #
PR800072OtherMMM HEALTHCARE PROV #
PR=========OtherMAPFRE MED PROV #
PR=========4OtherMCS CLASSIC Y EXCL PRO #
PR400262OtherUTI PREFERRED PROV #