01D0664095 CLIA NUMBER - CENTRAL ALABAMA ENT ASSOC

Laboratory Demographics

CLIA Number: 01D0664095

Facility Name: CENTRAL ALABAMA ENT ASSOC

Facility Address:
6980 WINTON BLOUNT BOULEVARD
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: (334) 277-0489

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1982764007

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name Field Value
CLIA Number 01D0664095
LAB Type PHYSICIAN OFFICE
Facility Name CENTRAL ALABAMA ENT ASSOC
Street 6980 WINTON BLOUNT BOULEVARD
City MONTGOMERY
State AL
ZIP 36117
Phone (334) 277-0489

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