Organization
METROPOLITANO ARECIBO
Active
Parent organization
SOUTHWEST HEALTH CORP
Other names
Laboratorio Clinico
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST HEALTH CORP
Authorized official
MRS. MARIA LOURDES LOPEZ (ADMINISTRATOR)
(787) 650-0097
Entity
Organization
Contact information
Practice address
CARR 129 INT, ZONA INDUSTRIAL VICTOR ROJAS, ARECIBO, PR 00613
(787) 650-0090
(787) 650-0099
Mailing address
PO BOX 9976, ARECIBO, PR 00613-9976
(787) 650-0097
(787) 650-0099
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1039
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039
STATE LICENSE
PR
01
—
40D0992949
CLIA
PR
Enumeration date
03/18/2011
Last updated
03/18/2011
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