5IVE STAR DIAGNOSTIC SOLUTIONS LLC is a clinical laboratory director and non-physician pathology in Mobile, AL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. 5IVE STAR DIAGNOSTIC SOLUTIONS LLC NPI is 1588420053. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1015 MONTLIMAR DR STE C5
MOBILE, AL
ZIP 36609-717
Phone: (251) 300-8331
Fax: (251) 300-8501
The provider's authorized official is Brandi Jackson .
The authorized official title is Owner and has the following contact phone number (251) 300-8331.
The CLIA number assigned to this NPI record is 01D2268252 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/22/2024 and was last updated on 2/22/2024.