Organization
LABORATORIO CLINICO MARBELLA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITZA IMELLE ORTIZ-FRANCESCHI BA, MT(ASCP) (PRESIDENT)
(787) 486-0202
Entity
Organization
Contact information
Practice address
CARR PR-687 KM 0.7 INT URB CIUDAD REAL, BO. ALGARROBO SECTOR TORTUGUERO 5, VEGA BAJA, PR 00693
(787) 855-6363
(787) 855-6363
Mailing address
ATLANTIC VIEW COURT, APT 101, VEGA BAJA, PR 00693
(787) 855-6363
(787) 855-6363
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D1100145
CLIA ID
—
Enumeration date
08/12/2009
Last updated
08/12/2009
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