Provider Demographics
NPI:1265543540
Name:POST CENTER CLINICAL LABORATORY, INC.
Entity type:Organization
Organization Name:POST CENTER CLINICAL LABORATORY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-832-2929
Mailing Address - Street 1:158 CALLE RAMOS ANTONINI E
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5044
Mailing Address - Country:US
Mailing Address - Phone:787-832-2929
Mailing Address - Fax:787-832-2929
Practice Address - Street 1:158 CALLE RAMOS ANTONINI E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5044
Practice Address - Country:US
Practice Address - Phone:787-832-2929
Practice Address - Fax:787-832-2929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POST CENTER CLINICAL LABORATORY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR859291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory