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01D1011218 CLIA NUMBER - GULF COAST SURGICAL PARTNERS

Laboratory Demographics

CLIA Number: 01D1011218

Facility Name: GULF COAST SURGICAL PARTNERS

Facility Address:
3610 SPRINGHILL MEMORIAL DRIVE NORTH
MOBILE, AL
ZIP 36608
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Facility Phone Number: 251 410-3650

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1588952857

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 01D1011218
LAB Type Ambulatory Surgery Center
Facility Name GULF COAST SURGICAL PARTNERS
Street 3610 SPRINGHILL MEMORIAL DRIVE NORTH
City MOBILE
State AL
ZIP 36608
Phone 251 410-3650
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

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