Provider Demographics
NPI:1437402401
Name:LABORATORIO CLINICO BIO TECH III CORPORACION
Entity type:Organization
Organization Name:LABORATORIO CLINICO BIO TECH III CORPORACION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:ABRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:ING
Authorized Official - Phone:787-421-7315
Mailing Address - Street 1:P.O. BOX 849
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-421-7315
Mailing Address - Fax:
Practice Address - Street 1:LAS HACIENDA 15144 CAMINO REAL STREET
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-421-7315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory