01D1005591 CLIA NUMBER - BROOKWOOD PRIMARY CARE - OAK MOUNTAIN

Laboratory Demographics

CLIA Number: 01D1005591

Facility Name: BROOKWOOD PRIMARY CARE - OAK MOUNTAIN

Facility Address:
2705 S PELHAM PARKWAY, SUITE 100
PELHAM, AL
ZIP 35124
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Facility Phone Number: 205 733-1130

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265720544

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	01D1005591
LAB Type	Physician Office
Facility Name	BROOKWOOD PRIMARY CARE - OAK MOUNTAIN
Street	2705 S PELHAM PARKWAY, SUITE 100
City	PELHAM
State	AL
ZIP	35124
Phone	205 733-1130
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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