Provider Demographics
NPI:1477394674
Name:LABORATORIO CLINICO ANTILLANOS LLC
Entity type:Organization
Organization Name:LABORATORIO CLINICO ANTILLANOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:939-415-2244
Mailing Address - Street 1:2MR587 VIA 3
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-3873
Mailing Address - Country:US
Mailing Address - Phone:939-415-2244
Mailing Address - Fax:
Practice Address - Street 1:CARR. 860 ESQ. AVE. A LOCAL 9
Practice Address - Street 2:URB. METROPOLIS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-622-3047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory