Provider Demographics
NPI:1518328897
Name:LABORATORIO CLINICO ANASCO INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO ANASCO INC.
Other - Org Name:LABORATORIO CLINICO ANASCO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:NILSA
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-826-3072
Mailing Address - Street 1:PO BOX 3132
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667
Mailing Address - Country:US
Mailing Address - Phone:787-826-3072
Mailing Address - Fax:787-826-3072
Practice Address - Street 1:58 CALLE DAGUEY
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-3072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR690291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory