Organization
LABORATORIO CLINICO DEL PUEBLO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LIPTON (PRESIDENT)
(787) 720-4120
Entity
Organization
Contact information
Practice address
96 CALLE CARAZO, GUAYNABO, PR 00969
(787) 720-4140
(787) 720-0101
Mailing address
96 CALLE CARAZO, GUAYNABO, PR 00969
(787) 720-4140
(787) 720-0101
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
682
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038222400
—
PR
01
—
40D0658100
CLIA
PR
Enumeration date
08/30/2006
Last updated
09/20/2023
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