Organization
CLINICAL LABORATORY SERVICES OF MANATI, INC
Active
Parent organization
CLINICAL LABORATORY SERVICES OF MANATI, INC
Other names
Laboratorio Clinico Manati II
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL LABORATORY SERVICES OF MANATI, INC
Authorized official
MR. ELLIOT MORALES APA (PRESIDENT/CEO)
(787) 432-1376
Entity
Organization
Contact information
Practice address
MARGINAL B19, URB FLAMBOYAN, MANATI, PR 00674
(787) 854-5660
(787) 884-0084
Mailing address
PO BOX 2387, MANATI, PR 00674-2387
(787) 884-5886
(787) 884-5886
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
684
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CC278A
—
PR
Enumeration date
07/18/2017
Last updated
07/18/2017
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