Provider Demographics
NPI:1679693477
Name:ACCURATE LABORATORY BIO-ANALYSIS, INC
Entity Type:Organization
Organization Name:ACCURATE LABORATORY BIO-ANALYSIS, INC
Other - Org Name:ALBA, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCDO
Authorized Official - Phone:787-827-4535
Mailing Address - Street 1:98 AVE MATIAS BRUGMAN
Mailing Address - Street 2:PO BOX 50
Mailing Address - City:LAS MARIAS
Mailing Address - State:PR
Mailing Address - Zip Code:00670-2015
Mailing Address - Country:US
Mailing Address - Phone:787-827-4535
Mailing Address - Fax:787-827-4535
Practice Address - Street 1:98 AVE MATIAS BRUGMAN
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670-2015
Practice Address - Country:US
Practice Address - Phone:787-827-4535
Practice Address - Fax:787-827-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR673291U00000X
PR748291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherPROVIDER
PR38358Medicare ID - Type UnspecifiedPROVIDER