01D0305586 CLIA NUMBER - Alabama Providence Healthcare Services

Laboratory Demographics

CLIA Number: 01D0305586

Facility Name: Alabama Providence Healthcare Services

Facility Address:
6701 Airport Blvd Suite A206
Mobile, AL
ZIP 36608
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Facility Phone Number: (251) 634-4500

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1891245692

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0305586
LAB Type PHYSICIAN OFFICE
Facility Name Alabama Providence Healthcare Services
Street 6701 Airport Blvd Suite A206
City Mobile
State AL
ZIP 36608
Phone (251) 634-4500

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This page was last updated on: 12/19/2019