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General NPI Number Information
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NPI Number | 1477633220
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO LAS COLINAS INC.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL JARDINES REALES AVE. LAS CUMBRES ESQUINA CALLE JUAN C. BORBON
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City | GUAYNABO
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State | PR
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Zip | 00969-5374
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Country | US
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Telephone | 787-287-0645
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Fax | 787-287-0979
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON SUITE 69
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City | GUAYNABO
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State | PR
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Zip | 00969-5374
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Country | US
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Telephone | 787-287-0645
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Fax | 787-287-0979
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NILSA MARRERO
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Credential | MEDICAL TECHNOLOGIST
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Telephone | 787-287-0645
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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 | 1005
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License Number State | PR
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