01D0304377 CLIA NUMBER - JACKSON HOSPITAL & CLINIC INC

Laboratory Demographics

CLIA Number: 01D0304377

Facility Name: JACKSON HOSPITAL & CLINIC INC

Facility Address:
226 MITYLENE PARK DR
MONTGOMERY, AL
ZIP 36117
Get Directions

Facility Phone Number: (334) 281-7666

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1740851096

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304377
LAB Type	PHYSICIAN OFFICE
Facility Name	JACKSON HOSPITAL & CLINIC INC
Street	226 MITYLENE PARK DR
City	MONTGOMERY
State	AL
ZIP	36117
Phone	(334) 281-7666

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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