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General NPI Number Information
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NPI Number | 1609026293
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Entity Type | Organization
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Legal Business Name | SOUTH CARIBBEAN LABORATORY CORP
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | CARR 2 KM 225.8 LOCAL 26B
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-486-4554
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Fax | 787-843-9000
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Provider Business Mailing Address
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Address Line | QUINTAS DE MONSERRATE CALLE 2 D-7
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-486-4554
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Fax | 787-259-5852
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS R COLON
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Credential |
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Telephone | 787-486-4554
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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 |
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License Number State |
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