Organization
LABORATORIO CLINICO SEBASTIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA IVETTE DEJESUS (MT(ASCP)/OWNER)
(787) 735-1173
Entity
Organization
Contact information
Practice address
CARRETERA 723, ASOMANTE, AIBONITO, PR 00705-1317
(787) 735-1179
(787) 735-0454
Mailing address
PO BOX 1317, AIBONITO, PR 00705-1317
(787) 735-1173
(787) 735-0454
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1108
PR
Other
Enumeration date
05/05/2006
Last updated
09/23/2010
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