Provider Demographics
NPI:1205028750
Name:KARYNELL CORPORATION
Entity Type:Organization
Organization Name:KARYNELL CORPORATION
Other - Org Name:LABORATORIO CLINICO KARYNELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-868-4999
Mailing Address - Street 1:PO BOX 2109
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-2109
Mailing Address - Country:US
Mailing Address - Phone:787-868-4999
Mailing Address - Fax:787-868-4999
Practice Address - Street 1:CARR 411 KM 9.4
Practice Address - Street 2:BO. ATALAYA
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-868-4999
Practice Address - Fax:787-868-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1131291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory