Organization
LABORATORIO CLINICO JARDINES DE YABUCOA
Active
Parent organization
LABORATORIO CLINICO Y BACTERIOLOGICO GLADY AN INC
Other names
Laboratorio Clinico Jardines de Yabucoa
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABORATORIO CLINICO Y BACTERIOLOGICO GLADY AN INC
Authorized official
MR. JOSE A TORRES MT (OWNER)
(787) 893-7702
Entity
Organization
Contact information
Practice address
URBANIZACION MENDEZ #95 CALLE A, YABUCOA, PR 00767
(787) 893-7702
(787) 893-7702
Mailing address
PO BOX 609, YABUCOA, PR 00767
(787) 893-7702
(787) 893-7702
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
817
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0861099
CLIA
—
Enumeration date
11/21/2005
Last updated
07/18/2017
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