Organization
LABORATORO CLINICO EXPRESO TRUJILLO ALTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN CARDONA MT (PRESIDENT)
(787) 748-4102
Entity
Organization
Contact information
Practice address
G1B CALLE FRONTERA, URB. VILLA ANDALUCIA, SAN JUAN, PR 00926
(787) 748-2580
(787) 292-7966
Mailing address
1353 CARRETERA NO 19, PMB # 364, GUAYNABO, PR 00966
(787) 748-2580
(787) 292-7966
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
750
PR
Other
Enumeration date
12/27/2005
Last updated
09/09/2008
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