01D1086582 CLIA NUMBER - MCCOOL AND BHUTA EAR NOSE THROAT SPECS

Laboratory Demographics

CLIA Number: 01D1086582

Facility Name: MCCOOL AND BHUTA EAR NOSE THROAT SPECS

Facility Address:
3055 INDEPENDENCE DRIVE
HOMEWOOD, AL
ZIP 35209
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Facility Phone Number: (205) 414-1368

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1467628818

Taxonomy: 207YX0007X - Otolaryngology
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

CLIA Record

Field Name	Field Value
CLIA Number	01D1086582
LAB Type	PHYSICIAN OFFICE
Facility Name	MCCOOL AND BHUTA EAR NOSE THROAT SPECS
Street	3055 INDEPENDENCE DRIVE
City	HOMEWOOD
State	AL
ZIP	35209
Phone	(205) 414-1368

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