01D0300671 CLIA NUMBER - MAGNOLIA PEDIATRICS SOUTH INC

Laboratory Demographics

CLIA Number: 01D0300671

Facility Name: MAGNOLIA PEDIATRICS SOUTH INC

Facility Address:
1621 11TH AVENUE S
BIRMINGHAM, AL
ZIP 35205
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Facility Phone Number: (205) 930-9500

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1760442164

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	01D0300671
LAB Type	PHYSICIAN OFFICE
Facility Name	MAGNOLIA PEDIATRICS SOUTH INC
Street	1621 11TH AVENUE S
City	BIRMINGHAM
State	AL
ZIP	35205
Phone	(205) 930-9500

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This page was last updated on: 5/11/2023