Provider Demographics
NPI:1750410387
Name:LABORATORIO CLINICO MORSE INC.
Entity type:Organization
Organization Name:LABORATORIO CLINICO MORSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECNOLOGA MEDICO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCDA
Authorized Official - Phone:787-271-1111
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-2350
Mailing Address - Country:US
Mailing Address - Phone:787-271-1111
Mailing Address - Fax:787-271-2771
Practice Address - Street 1:203 CALLE MORSE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2350
Practice Address - Country:US
Practice Address - Phone:787-271-1111
Practice Address - Fax:787-271-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1071291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1071OtherLICENCIA DEL LABORATORIO