Laboratorio Clinico Otoao LLC
Clinical Medical Laboratory in Utuado, PR. Organization (NPI-2).
NPI number1104430883
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1104430883
- Entity type
- Organization (NPI-2)
- Legal business name
- Laboratorio Clinico Otoao LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
Carretera # 111, Km. 2.9, Vivi Abajo,Utuado, PR 00641
Phone 787-310-3018
Mailing address
Po Box 1464Utuado, PR 00641-1464
Phone 787-310-3018
Authorized official
Johanna Nieves
Owner
7873103018
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