Provider Demographics
NPI:1942378708
Name:LABORATORIO CLINICO NOY , INC.
Entity type:Organization
Organization Name:LABORATORIO CLINICO NOY , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-281-0370
Mailing Address - Street 1:239 ARTERIAL HOSTOS
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1475
Mailing Address - Country:US
Mailing Address - Phone:787-281-0370
Mailing Address - Fax:787-281-0393
Practice Address - Street 1:239 ARTERIAL HOSTOS
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1475
Practice Address - Country:US
Practice Address - Phone:787-281-0370
Practice Address - Fax:787-281-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR873291U00000X
PR40D0902422291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR31100Medicare PIN