01D0678289 CLIA NUMBER - JACKSON HOSPITAL & CLINIC, INC

Laboratory Demographics

CLIA Number: 01D0678289

Facility Name: JACKSON HOSPITAL & CLINIC, INC

Facility Address:
1111 OLIVE STREET
MONTGOMERY, AL
ZIP 36106
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Facility Phone Number: (334) 834-7221

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1720599012

Taxonomy: 207Y00000X - Otolaryngology
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

CLIA Record

Field Name	Field Value
CLIA Number	01D0678289
LAB Type	PHYSICIAN OFFICE
Facility Name	JACKSON HOSPITAL & CLINIC, INC
Street	1111 OLIVE STREET
City	MONTGOMERY
State	AL
ZIP	36106
Phone	(334) 834-7221

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