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1164696134 NPI number — LABORATORIO CLINICO EL SHADDAI,INC.

NPI Number: 1164696134
Health Care Provider/Practitioner: LABORATORIO CLINICO EL SHADDAI,INC.

Information about “1164696134” NPI (LABORATORIO CLINICO EL SHADDAI,INC.) exists in 1164696134 in HTML format HTML  |  1164696134 in plain Text format TXT  |  1164696134 in PDF (Portable Document Format) PDF  |  1164696134 in an XML format XML  formats.

NPI Number : 1164696134 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164696134",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LABORATORIO CLINICO EL SHADDAI,INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5005",
    "SecondLineMailingAddress": "PMB 23",
    "MailingAddressCityName": "SAN LORENZO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00754-5005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-249-5350",
    "MailingAddressFaxNumber": "787-736-8838",
    "FirstLinePracticeLocationAddress": "CARR 183 # KM7.7",
    "SecondLinePracticeLocationAddress": "BO. HATO",
    "PracticeLocationAddressCityName": "SAN LORENZO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00754-4530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-249-5350",
    "PracticeLocationAddressFaxNumber": "787-736-8838",
    "EnumerationDate": "04/21/2008",
    "LastUpdateDate": "04/21/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ORTIZ",
    "AuthorizedOfficialFirstName": "CARMEN",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "MEDICAL TECHNOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.T.",
    "AuthorizedOfficialTelephoneNumber": "787-249-5350",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "1148",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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