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General NPI Number Information
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NPI Number | 1003907346
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Entity Type | Organization
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Legal Business Name | HIGH PROFILE LABORATORIES TESTING SERVICES LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | CARR 177 AVE LOMAS VERDES SUITE 103 EDIF PHOENIX CLINICA LOS AMERICAS
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-720-0760
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Fax | 787-720-0763
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Provider Business Mailing Address
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Address Line | PMB 355 AVE ESMERALDA 405 SUITE 2
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City | GUAYNABO
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State | PR
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Zip | 00969-4457
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Country | US
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Telephone | 787-720-0760
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Fax | 787-720-0763
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | CARMEN RIPOLL
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Credential |
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Telephone | 787-720-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1081
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License Number State | PR
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