Provider Demographics
NPI:1891820288
Name:HEALTH LABORATORIES SERVICES INC
Entity Type:Organization
Organization Name:HEALTH LABORATORIES SERVICES INC
Other - Org Name:LABORATORIO CLINICO VALLE ARRIBA
Other - Org Type:Doing Business As
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:AVENIDA MONSERRATE BH-13
Practice Address - Street 2:VALLE ARRIBA HEIGHTS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-1105
Practice Address - Fax:787-752-1165
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
PR313291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR052096OtherCRUZ AZUL PROV #
PR30824VAOtherTRIPLE S PROV #
PR660487503OtherCOSVI MED PROV #
PR8462OtherIMC PROV #
PR04875544OtherCOSVI PROV #
PR20115COtherPMC PROV #
PR9850012OtherHUMANA PROV #
PR20096OtherAMERICAN HEALTH PROV #
PR800070OtherMMM HEALTHCARE PROV #
PR400263OtherUTI PREFERRED PROV #
PRL-0010OtherPALIC PROV #
PR660487503OtherCOSVI MED PROV #
PR8462OtherIMC PROV #
PR20096OtherAMERICAN HEALTH PROV #
PR=========5OtherMCS EXCL. Y CLASSIC PRO #
PR=========EOtherMAPFRE PROV #
PR=========5OtherMCS EXCL. Y CLASSIC PRO #