01D0305871 CLIA NUMBER - Providence Medical Group Cottage Hill

Laboratory Demographics

CLIA Number: 01D0305871

Facility Name: Providence Medical Group Cottage Hill

Facility Address:
5621 Cottage Hill Road,
Mobile, AL
ZIP 36609
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Facility Phone Number: (251) 666-2439

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1447799861

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 01D0305871
LAB Type PHYSICIAN OFFICE
Facility Name Providence Medical Group Cottage Hill
Street 5621 Cottage Hill Road,
City Mobile
State AL
ZIP 36609
Phone 2516662439

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This page was last updated on: 5/19/2019