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Organization
BREATHTRAC INC
Active
Organization
BREATHTRAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELANCY H GARDNER RPFT (OWNER MANAGER)
(205) 369-2169
Entity
Organization
Contact information
Practice address
131 MCCALLA RD, BESSEMER, AL 35022-5329
(205) 425-9070
(256) 775-1862
Mailing address
131 MCCALLA RD, BESSEMER, AL 35022-5329
(205) 425-9070
(256) 775-1862
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51029320
BLUE CROSS
AL
01
—
51032929
BLUE CROSS
AL
Enumeration date
03/22/2007
Last updated
08/02/2007
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