Organization
LABORATORIO CLNICO Y BACTERIOLOGICO RODRIGUEZ INC
Active
Parent organization
LABORATORIO CLINICO Y BACTERIOLOGICO RODRIGUEZ INC
Other names
LABORATORIO CLINICO PITAHAYA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABORATORIO CLINICO Y BACTERIOLOGICO RODRIGUEZ INC
Authorized official
MRS. REINA M HERNANDEZ MT (LAB DIRECTOR)
(787) 733-1404
Entity
Organization
Contact information
Practice address
CARR PR 924 KM 2, HM 8, HUMACAO, PR 00791
(787) 852-7722
(787) 733-7788
Mailing address
100 CALLE JOSE C BARBOSA, LAS PIEDRAS, PR 00771
(787) 733-1404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1165
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165
STATE LIC
PR
01
—
40D1086589
CLIA
PR
Enumeration date
01/11/2017
Last updated
07/19/2017
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