Organization
ELITE HEMATOPATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO BLASINI (PRESIDENT)
(787) 945-7796
Entity
Organization
Contact information
Practice address
1075 CALLE MARGINAL VILLAMAR, SUITE 3, CAROLINA, PR 00979-6300
(787) 945-7796
Mailing address
1075 CALLE MARGINAL VILLAMAR, SUITE 3, CAROLINA, PR 00979-6300
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
1278
PR
Other
Enumeration date
11/29/2011
Last updated
04/10/2013
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