Provider Demographics
NPI:1154078160
Name:LABORATORIO CLINICO IRIZARRY GUASCH INC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO IRIZARRY GUASCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARIA
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILSA
Authorized Official - Middle Name:I
Authorized Official - Last Name:IRIZARRY GUASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-899-7223
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0593
Mailing Address - Country:US
Mailing Address - Phone:787-899-7223
Mailing Address - Fax:
Practice Address - Street 1:40 AVE VICENTE QUILINCHINI
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1903
Practice Address - Country:US
Practice Address - Phone:787-899-7223
Practice Address - Fax:787-899-1861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory