Organization
LABORATORIO CLINICO VALENCIANO DEL ESTE INC
Active
Other names
Laboratorio Clinico Valenciano II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE CARMEN COLON M.T. (PRESIDENT)
(787) 743-2580
Entity
Organization
Contact information
Practice address
189 ROAD, AMERICAN PLAZA, CAGUAS, PR 00725
(787) 743-2580
(787) 743-2580
Mailing address
243 LA SERRANIA, CAGUAS, PR 00725-1808
(787) 713-0922
(787) 743-2580
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1134
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D1068774
CMS, CLIA
PR
Enumeration date
09/25/2007
Last updated
09/25/2007
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