01D0669034 CLIA NUMBER - Montgomery Cancer Center

Laboratory Demographics

CLIA Number: 01D0669034

Facility Name: Montgomery Cancer Center

Facility Address:
4145 Carmichael Road
Montgomery, AL
ZIP 36106
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Facility Phone Number: (334) 273-2377

Facility Type: COMMUNITY CLINIC

Certificate Type: Accreditation

NPI Number: 1427092220

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 01D0669034
LAB Type COMMUNITY CLINIC
Facility Name Montgomery Cancer Center
Street 4145 Carmichael Road
City Montgomery
State AL
ZIP 36106
Phone (334) 273-2377

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This page was last updated on: 4/7/2021