Healthcare Provider Details

I. General information

NPI: 1477421949
Provider Name (Legal Business Name): LS TESTING LAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 10 KM 59.3 BO HATO VIEJO
ARECIBO PR
00612-8282
US

IV. Provider business mailing address

PO BOX 2170
UTUADO PR
00641-2170
US

V. Phone/Fax

Practice location:
  • Phone: 787-816-2600
  • Fax:
Mailing address:
  • Phone: 787-816-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LISANDRA SUAREZ GONZALEZ
Title or Position: LAB OWNER
Credential: BSMT
Phone: 787-316-2879