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1477560936 NPI number — LABORATORIO CLINICO LAS TUNAS, INC.

NPI Number: 1477560936
Health Care Provider/Practitioner: LABORATORIO CLINICO LAS TUNAS, INC.

Information about “1477560936” NPI (LABORATORIO CLINICO LAS TUNAS, INC.) exists in 1477560936 in HTML format HTML  |  1477560936 in plain Text format TXT  |  1477560936 in PDF (Portable Document Format) PDF  |  1477560936 in an XML format XML  formats.

NPI Number : 1477560936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477560936",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LABORATORIO CLINICO LAS TUNAS, 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 561679",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GUAYANILLA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00656-4119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-873-0564",
    "MailingAddressFaxNumber": "787-873-0564",
    "FirstLinePracticeLocationAddress": "CARR 121 KM 3.6",
    "SecondLinePracticeLocationAddress": "URB LAS TUNAS",
    "PracticeLocationAddressCityName": "SABANA GRANDE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-873-0564",
    "PracticeLocationAddressFaxNumber": "787-873-0564",
    "EnumerationDate": "08/01/2006",
    "LastUpdateDate": "07/10/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARZOLA",
    "AuthorizedOfficialFirstName": "DELIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MT, ASCP",
    "AuthorizedOfficialTelephoneNumber": "787-873-0564",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "1104",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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