Organization
HEALTH LABORATORIES SERVICES INC
Active
Other names
LABORATORIO CLINICO CENTRO 4
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTA LOPEZ DE VICTORIA (PRESIDENT)
(787) 762-4786
Entity
Organization
Contact information
Practice address
869 CARR 876, NUESTRA SENORA DE LOURDES, TRUJILLO ALTO, PR 00976-3813
(787) 755-5180
(787) 755-5180
Mailing address
PO BOX 3310, CAROLINA, PR 00984-3310
(787) 755-5180
(787) 755-5180
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
677
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048755402
COSVI PROVIDER #
PR
01
—
051264
CRUZ AZUL PROV #
PR
01
—
20115A
PMC PROV #
PR
01
—
30561CE
TRIPLE S PROV #
PR
01
—
400060
UTI PREFERRED PROV #
PR
01
—
40677
CIGNA EXCLUSIVE #
PR
01
—
660487501
COSVI MED PROV #
PR
01
—
7600017
HUMANA PROV #
PR
01
—
800055
MMM HEALTHCARE PROV#
PR
01
—
8462
IMC PROV #
PR
01
—
L0010
PALIC PROV #
PR
Enumeration date
02/22/2007
Last updated
08/06/2010
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