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Organization

LABORATORIO CLINICO JARDINES, INC.

Active
Other names
Lab Clinico Jardines de Country Club
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN W VAZQUEZ (ADMINISTRATOR)
(787) 752-0504
Entity
Organization

Contact information

Practice address
BE5 CALLE 101, JARDINES DE COUNTRY CLUB, CAROLINA, PR 00983-2189
(787) 752-0504
(787) 768-5818
Mailing address
PO BOX 3278, CAROLINA, PR 00984-3278
(787) 752-0504
(787) 768-5818

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0685
PR

Other

Enumeration date
01/28/2008
Last updated
09/28/2012
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