REGENERATIVE MEDICINE OF SOUTH ALABAMA LLC NPI 1922641406

NPI Information

NPI: 1922641406
Provider Name: REGENERATIVE MEDICINE OF SOUTH ALABAMA LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3929 AIRPORT BLVD STE 3-110
MOBILE, AL
ZIP 36609
Phone: (251) 307-1855
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REGENERATIVE MEDICINE OF SOUTH ALABAMA LLC is a health service clinic center in Mobile, AL. REGENERATIVE MEDICINE OF SOUTH ALABAMA LLC NPI is 1922641406. The provider is registered as an organization entity type.

The provider's business location address is:

3929 AIRPORT BLVD STE 3-110
MOBILE, AL
ZIP 36609-234
Phone: (251) 307-1855
Fax: (251) 301-0870

The provider's authorized official is Kyle Lopez .
The authorized official title is President and has the following contact phone number (251) 490-3235.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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