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Organization
BLACK BOX DIAGNOSTICS
Active
Organization
BLACK BOX DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN JEFFERSON CLINGAN M.D. (MANAGING PARTNER)
(205) 939-7056
Entity
Organization
Contact information
Practice address
810 ST. VINCENT'S DRIVE, DEPARTMENT OF PATHOLOGY, BIRMINGHAM, AL 35205-1601
(205) 939-7056
Mailing address
12 RONNIE WAYNE CIRCLE, BIRMINGHAM, AL 35213-4420
(205) 939-7056
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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