Organization
CLINICAL LABORATORY SERVICES OF MANATI, INC.
Active
Organization
CLINICAL LABORATORY SERVICES OF MANATI, INC.
Active
Other names
Laboratorio Clinico Medi Serv
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOT MORALES APA (PRESIDENT)
(787) 881-2700
Entity
Organization
Contact information
Practice address
CARR #2 KM. 70.2, BO. DOMINGO RUIZ, ARECIBO, PR 00612-0477
(787) 881-2700
(787) 879-0358
Mailing address
PO BOX 2387, MANATI, PR 00674-2387
(787) 881-2700
(787) 879-0358
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
536
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC278A
PTAN
PR
Enumeration date
04/03/2013
Last updated
04/03/2013
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