Provider Demographics
NPI:1982746855
Name:RR LABORATORY SERVICES, INC.
Entity Type:Organization
Organization Name:RR LABORATORY SERVICES, INC.
Other - Org Name:LABORATORIO CLINICO BAYANEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RIGOBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-820-3588
Mailing Address - Street 1:PO BOX 1877
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-1877
Mailing Address - Country:US
Mailing Address - Phone:787-820-3588
Mailing Address - Fax:787-262-3588
Practice Address - Street 1:YAUCO GALLERY PLAZA BARRIO SUSUA BAJA
Practice Address - Street 2:ROAD PR-128 KM 2 HM 2
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-267-5477
Practice Address - Fax:787-262-5477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RR LABORATORY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR65291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038039300Medicaid