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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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