Organization
LABORATORIO CLINILAB, INC.
Active
Organization
LABORATORIO CLINILAB, INC.
Active
Other names
Clinilab
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA C CHICO M.T. (PRESIDENT)
(787) 892-0520
Entity
Organization
Contact information
Practice address
#222 AVE. LOS ATLETICOS DE SAN GERMAN, BARRIO RETIRO, SAN GERMAN, PR 00683
(787) 892-0520
(787) 892-0520
Mailing address
#222 AVE. LOS ATLETICOS DE SAN GERMAN, SAN GERMAN, PR 00683
(787) 892-0520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
915
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
915
STATE LICENSE
PR
Enumeration date
10/31/2006
Last updated
06/12/2008
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