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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