| NPI | 1770514150 |
|---|---|
| Former Legal Business Name | LABORATORIO CLINICO HNOS MIKASOBE,LLC |
| Entity Type | Organization |
| Authorized Contact | ILEANA DURAN Owner 787-876-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 342) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-05-21 |