| NPI | 1740247253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA IVETTE AVILES Owner President Of Corp Lab. Superv 787-863-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1106) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-12-15 |