Organization
ASHFORD ENDOCRINE & METABOLIC LABORATORY INC
Active
Other names
Ashford Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA COLON (ADMINISTRATOR)
(787) 452-9504
Entity
Organization
Contact information
Practice address
29 WASHINGTON STREET, SUITE 210, SAN JUAN, PR 00907
(787) 724-6816
(787) 724-7693
Mailing address
29 WASHINGTON STREET, SUITE 210, SAN JUAN, PR 00907
(787) 724-6816
(787) 724-7693
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
130
PR
291U00000X
Clinical Medical Laboratory
40D0658241
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000658241
CLIA
—
Enumeration date
12/01/2006
Last updated
08/24/2010
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