Provider Demographics
NPI:1710293030
Name:OUR LABS INC
Entity Type:Organization
Organization Name:OUR LABS INC
Other - Org Name:LABORATORIO CLINICO OURLABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL TECHNOLOGIST SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-797-1209
Mailing Address - Street 1:GUAMA #225 CIUDAD JARDIN 3
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-0000
Mailing Address - Country:US
Mailing Address - Phone:787-797-1209
Mailing Address - Fax:787-279-4819
Practice Address - Street 1:STATE ROAD 167 LAS CUMBRES AVE.
Practice Address - Street 2:REXVILLE TOWNE CENTER #92
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-0000
Practice Address - Country:US
Practice Address - Phone:787-797-1209
Practice Address - Fax:787-279-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
PR1228291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory