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Organization

LABORATORIO CLINICO EL SHADDAI,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN S. ORTIZ M.T. (MEDICAL TECHNOLOGIST)
(787) 249-5350
Entity
Organization

Contact information

Practice address
CARR 183 # KM7.7, BO. HATO, SAN LORENZO, PR 00754-4530
(787) 249-5350
(787) 736-8838
Mailing address
PO BOX 5005, PMB 23, SAN LORENZO, PR 00754-5005
(787) 249-5350
(787) 736-8838

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1148
PR

Other

Enumeration date
04/21/2008
Last updated
04/21/2008
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