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General NPI Number Information
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NPI Number | 1124038583
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Entity Type | Organization
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Legal Business Name | ALBITA S LAB CORPORATION
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 157 CALLE ANDRES ARUS RIVERA
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City | GURABO
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State | PR
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Zip | 00778-2322
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Country | US
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Telephone | 787-737-8130
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Fax | 787-737-8130
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Provider Business Mailing Address
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Address Line | APARTADO 1352
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City | GURABO
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State | PR
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Zip | 00778-2322
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Country | US
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Telephone | 787-737-8130
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Fax | 787-737-8130
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Authorized Official
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Title or Position | C.E.O.
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Name | MS. ALBA IRIS ARROYO
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Credential | MEDICAL TECHNOLOGIST
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Telephone | 787-737-8130
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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 | 491
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License Number State | PR
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