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Organization

CITY LAB INC

Active
Other names
LABORATORIO CLINICO CITY LAB
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YOLANDA COLON RN (ADMINISTRATOR)
(787) 750-7923
Entity
Organization

Contact information

Practice address
AVE 65TH INFANTERIA CENTRO COMERCIAL PLAZA ITURREGUI, # 10, SAN JUAN, PR 00924
(787) 750-7923
(787) 281-0393
Mailing address
239 ARTERIAL HOSTOS, SUITE 303, SAN JUAN, PR 00918-1475
(787) 750-7923
(787) 281-0393

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1241
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40D2024597
CLIA
NC
Enumeration date
10/05/2011
Last updated
10/05/2011
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