Provider Demographics
NPI:1013042407
Name:HEALTH LABORATORIES SERVICES INC
Entity Type:Organization
Organization Name:HEALTH LABORATORIES SERVICES INC
Other - Org Name:LABORATORIO CLINICO SAINT JUST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ DE VICTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-762-4786
Mailing Address - Street 1:PO BOX 3310
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3310
Mailing Address - Country:US
Mailing Address - Phone:787-762-4786
Mailing Address - Fax:787-752-3360
Practice Address - Street 1:CARRETERA 848 ESQ. FLORENTINO ROMAN
Practice Address - Street 2:URBANIZACION VILLA SAN ANTON LOCAL 4
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-762-4786
Practice Address - Fax:787-762-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory