Organization
NORTHWESTERN MEDICAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL MENDEZ M.T. (PRESIDENT)
(787) 891-1481
Entity
Organization
Contact information
Practice address
24 AVE SEVERIANO CUEVAS STE 101, AGUADILLA MEDICAL PLAZA, AGUADILLA, PR 00603-5762
(787) 891-1481
(787) 891-1481
Mailing address
PO BOX 250451, AGUADILLA, PR 00604-0451
(787) 891-1481
(787) 891-1481
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
309
PR
Other
Enumeration date
05/15/2007
Last updated
10/24/2017
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