01D0680743 CLIA NUMBER - GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL INC

Laboratory Demographics

CLIA Number: 01D0680743

Facility Name: GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL INC

Facility Address:
513 BROOKWOOD BLVD SUITE 401
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: (205) 870-0256

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1528080595

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0680743
LAB Type PHYSICIAN OFFICE
Facility Name GASTROENTEROLOGY ASSOC OF NORTH-CENTRAL AL INC
Street 513 BROOKWOOD BLVD SUITE 401
City BIRMINGHAM
State AL
ZIP 35209
Phone (205) 870-0256

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