Organization
LABORATORIO CLINICO C L A INC
Active
Other names
LAB CLINICO CLA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN D WHITLOCK (DIRECTOR)
(787) 743-0330
Entity
Organization
Contact information
Practice address
400 AVE FD ROOSEVELT, SUITE 201, SAN JUAN, PR 00918-2103
(787) 744-0330
(787) 744-2588
Mailing address
2 CALLE BALDORIOTY, CAGUAS, PR 00725-2606
(787) 743-0330
(787) 744-2588
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
757
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38212
MEDICARE CMS
PR
Enumeration date
01/18/2006
Last updated
06/17/2008
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