Organization
LABORATORIO CLINICO LAS TUNAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIS ARZOLA MT, ASCP (PRESIDENT)
(787) 873-0564
Entity
Organization
Contact information
Practice address
CARR 121 KM 3.6, URB LAS TUNAS, SABANA GRANDE, PR 00637
(787) 873-0564
(787) 873-0564
Mailing address
PO BOX 561679, GUAYANILLA, PR 00656-4119
(787) 873-0564
(787) 873-0564
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1104
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104
PR LICENCE LABORATORY
PR
01
—
40D1046215
CLIA
—
Enumeration date
08/01/2006
Last updated
07/10/2014
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