Provider Demographics
NPI:1093105827
Name:DSI LABS ,INC
Entity Type:Organization
Organization Name:DSI LABS ,INC
Other - Org Name:LABORATORIO CLINICO COSTA CARIBE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANCHEZ IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-675-4604
Mailing Address - Street 1:PO BOX 3464
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-3464
Mailing Address - Country:US
Mailing Address - Phone:787-493-2003
Mailing Address - Fax:787-493-2003
Practice Address - Street 1:1749 URB PURPLE TREE CARR 844
Practice Address - Street 2:
Practice Address - City:CUPEY
Practice Address - State:PR
Practice Address - Zip Code:00926-4446
Practice Address - Country:US
Practice Address - Phone:787-748-4848
Practice Address - Fax:787-748-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR661291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory