Provider Demographics
NPI:1609643972
Name:HIGH PROFILE LABORATORIES TESTING SERVICES LLC
Entity Type:Organization
Organization Name:HIGH PROFILE LABORATORIES TESTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-720-0767
Mailing Address - Street 1:405 AVE ESMERALDA, PMB 355
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4482
Mailing Address - Country:US
Mailing Address - Phone:787-720-0760
Mailing Address - Fax:787-720-0760
Practice Address - Street 1:#1 AVE CASA LINDA, SALUS, STE 103
Practice Address - Street 2:CARR 177, AVE LOS FILTROS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-9002
Practice Address - Country:US
Practice Address - Phone:787-720-0760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGH PROFILE LABORATORIES TESTING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory