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: 1619306701

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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	(251) 666-2439

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