Provider Demographics
NPI:1346388303
Name:LABORATORIO CLINICO KAMIL, INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO KAMIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMASITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:M T
Authorized Official - Phone:787-842-9819
Mailing Address - Street 1:3025 BUENOS AIRES
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1652
Mailing Address - Country:US
Mailing Address - Phone:787-842-9819
Mailing Address - Fax:787-842-9819
Practice Address - Street 1:3025 CALLE BUENOS AIRES
Practice Address - Street 2:SUITE 1
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1652
Practice Address - Country:US
Practice Address - Phone:787-842-9819
Practice Address - Fax:787-842-9819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038040Medicare ID - Type UnspecifiedCLINICAL LABORATORY