Organization
LABORATORIO CLINICO DORADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTA IVONNE MARIN MT (LABORATORY DIRECTOR)
(787) 796-2644
Entity
Organization
Contact information
Practice address
#109 ELISA VALLE, DORADO, PR 00646-2733
(787) 796-2644
(787) 796-1025
Mailing address
#109 ELISA VALLE, DORADO, PR 00646-2733
(787) 796-2644
(787) 796-1025
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
486
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0658077
CLIA
—
Enumeration date
10/07/2005
Last updated
08/06/2014
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