Organization
F.T. CLINICAL LABORATORIES,CSP
Active
Other names
LABORATORIO CLINICO TORRES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE FERNANDEZ-FERNANDEZ MT (PRESIDENT)
(787) 897-0263
Entity
Organization
Contact information
Practice address
CARR 129 KM 21.8, BO CALLEJONES, LARES, PR 00669-0000
(787) 897-0263
(787) 897-0263
Mailing address
PO BOX 143233, ARECIBO, PR 00614-3233
(787) 897-0263
(787) 897-0263
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
857
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0882124
CLIA
PR
Enumeration date
06/02/2011
Last updated
06/02/2011
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