Organization
PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE DORTCH (OWNER/CEO)
(251) 227-9937
Entity
Organization
Contact information
Practice address
301 MAGNOLIA AVE, EVERGREEN, AL 36401-3115
(251) 227-9937
Mailing address
301 MAGNOLIA AVE, EVERGREEN, AL 36401-3115
(251) 227-9937
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
12/20/2025
Last updated
12/22/2025
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