Laboratorios Clinicos Baco Statlab Ii

NPI 1013036375 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1013036375
Enumeration Date 03/28/2007
Last Updated 04/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JORGE B JORGE
Position GENERAL SUPERVISOR PRESIDENT
Phone (787) 832-7190
Fax (787) 805-2045
Practice Location
ED. CENTRO DISTIBUCION REGIONAL DE MAYAGUEZ
SUITE # 2
MAYAGUEZ PR, 00680, US
Phone (787) 832-7190
Fax (787) 805-2045
Business Location
22 CALLE PERAL N
MAYAGUEZ PR, 00680-4821, US
Phone (787) 832-7190
Fax (787) 805-2045
Toxanomy
Taxonomy Code 291U00000X
License State Puerto Rico
License Number 897
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According to our database, Laboratorios Clinicos Baco Statlab Ii NPI is 1013036375, taxonomy code is 291U00000X and license number is 897, license state is located at Puerto Rico. Laboratorios Clinicos Baco Statlab Ii physically located at Ed. Centro Distibucion Regional De Mayaguez, Mayaguez PR, 00680. NPI Number 1033115704 has the healthcare provider type.

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1013036375 NPI number is provided on an as is basis without warranty of any kind. 1013036375 is maintained by the National Plan & Provider Enumeration System. The contents of Laboratorios Clinicos Baco Statlab Ii are for informational purposes only.