Organization
LABORATORY MEDICINE SERVICES INCORPORATED
Active
Organization
LABORATORY MEDICINE SERVICES INCORPORATED
Active
Other names
Laboratorio Clinico Flamboyan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORA LIMARDO-DEFENDINI MD (DIRECTOR/OWNER)
(787) 306-3985
Entity
Organization
Contact information
Practice address
CARRETERA 172 KM 7.5, BO. BAYAMON SECTOR CERTENEJAS, CIDRA, PR 00739
(787) 306-3985
(787) 708-2345
Mailing address
1353 LUIS VIGOREAUX, PMB 646, GUAYNABO, PR 00966
(787) 306-3985
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1227
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1227
PR LICENSE
PR
01
—
40D2006469
CLIA
—
Enumeration date
11/03/2010
Last updated
11/03/2010
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