01D0883555 CLIA NUMBER - RED MOUNTAIN FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 01D0883555

Facility Name: RED MOUNTAIN FAMILY MEDICINE

Facility Address:
1900 20TH AVE SOUTH SUITE 102
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: 205 933-4520

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639394513

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0883555
LAB Type	Physician Office
Facility Name	RED MOUNTAIN FAMILY MEDICINE
Street	1900 20TH AVE SOUTH SUITE 102
City	BIRMINGHAM
State	AL
ZIP	35209
Phone	205 933-4520
CertificateType	3
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024