01D0663527 CLIA NUMBER - USCG ATC MOBILE

Laboratory Demographics

CLIA Number: 01D0663527

Facility Name: USCG ATC MOBILE

Facility Address:
8501 TANNER WILLIAMS ROAD
MOBILE, AL
ZIP 36608
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Facility Phone Number: (251) 441-6411

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1396846739

Taxonomy: 305R00000X - Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

CLIA Record

Field Name Field Value
CLIA Number 01D0663527
LAB Type OTHER
Facility Name USCG ATC MOBILE
Street 8501 TANNER WILLIAMS ROAD
City MOBILE
State AL
ZIP 36608
Phone (251) 441-6411

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This page was last updated on: 3/23/2022