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General NPI Number Information
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NPI Number | 1720644289
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Entity Type | Organization
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Legal Business Name | HEALTH LABORATORIES SERVICES, INC.
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | CAROLINA SHOPPING COURT LOCAL 302 BO MARTIN GONZALEZ
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-762-8095
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Fax | 787-762-8095
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Provider Business Mailing Address
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Address Line | PO BOX 3310
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City | CAROLINA
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State | PR
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Zip | 00984-3310
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Country | US
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Telephone | 787-762-4786
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUAN CARLOS HERNANDEZ-LOPEZ DE VICTORIA
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Credential |
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Telephone | 787-762-4786
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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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