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General NPI Number Information
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NPI Number | 1639301427
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO METROPOLIS
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 11/21/2020
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Provider Practice Location Address
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Address Line | CARRETERA 860 KM 0.8 BARRIO MARTIN GONZALEZ
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City | CAROLINA
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-671-2699
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Fax |
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Provider Business Mailing Address
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Address Line | URB. PRIMAVERA CALLE PASEO DE ORQUIDEAS #68
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-564-1495
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CONCEPCION ROMERO
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Credential | M.T. (ASCP)
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Telephone | 787-564-1495
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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 | PR
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