01D0305732 CLIA NUMBER - SOUTHERN CANCER CENTER

Laboratory Demographics

CLIA Number: 01D0305732

Facility Name: SOUTHERN CANCER CENTER

Facility Address:
6701 AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Facility Phone Number: (251) 625-6896

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1578629556

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	01D0305732
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHERN CANCER CENTER
Street	6701 AIRPORT BLVD
City	MOBILE
State	AL
ZIP	36608
Phone	(251) 625-6896

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