Organization
CLENDO LAB INC.
Active
Other names
Clendo Reference Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDALIA L BECERRA (EXECUTIVE DIRECTOR)
(787) 620-9095
Entity
Organization
Contact information
Practice address
AVE. SANTA CRUZ #58 URB. STA. CRUZ, BAYAMON, PR 00961-7020
(787) 620-9095
(787) 740-0902
Mailing address
PO BOX 549, BAYAMON, PR 00960-6049
(787) 620-9095
(787) 740-0902
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
526
PR
291U00000X
Clinical Medical Laboratory
Primary
LIC.526
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526
LICENCE
PR
Enumeration date
10/17/2006
Last updated
11/01/2010
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