01D0301574 CLIA NUMBER - GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL, INC

Laboratory Demographics

  • Code: 01D0301574
  • Facility Name: GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL, INC
  • Facility Address: 100 PILOT MEDICAL PARK SUITE 250
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 838-3034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1912446105
  • Taxonomy: 207L00000X - Anesthesiology
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CLIA Record

Field Name Field Value
CLIA Number 01D0301574
LAB Type Physician Office
Facility Name GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL, INC
Street 100 PILOT MEDICAL PARK SUITE 250
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 838-3034
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024