Provider Demographics
NPI:1275505745
Name:BIOLABSAINTJOSEPH CORP.
Entity Type:Organization
Organization Name:BIOLABSAINTJOSEPH CORP.
Other - Org Name:LAB. CLINICO SAINT JOSEPH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PRADOS
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-786-6209
Mailing Address - Street 1:PO BOX 2006
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2006
Mailing Address - Country:US
Mailing Address - Phone:787-786-6209
Mailing Address - Fax:787-269-1378
Practice Address - Street 1:AVE. TNT. NELSON MARTINEZ N-59
Practice Address - Street 2:ALTURAS DE FLAMBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-6209
Practice Address - Fax:787-269-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR606291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038167OtherMEDICARE PROVIDER