Organization
LABORATORIO CLINICON COLON #3
Active
Parent organization
LABORATORIO CLINICO DEL SURESTE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABORATORIO CLINICO DEL SURESTE, INC
Authorized official
MRS. YANIRE CASTRO MEDICAL TECNOLOGIST (LABORATORY SUPERVISOR)
(787) 285-1680
Entity
Organization
Contact information
Practice address
358 AVE FONT MARTELO, ROSADO MEDICAL BUILDING, HUMACAO, PR 00791-3222
(787) 285-1680
Mailing address
PO BOX 85, YABUCOA, PR 00767-0085
(787) 285-1680
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1032
PR
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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