Organization
RED MOUNTAIN DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LAKE (ADMINISTRATOR)
(205) 313-4628
Entity
Organization
Contact information
Practice address
140 OXMOOR BLVD STE 140, HOMEWOOD, AL 35209
(205) 224-4490
(205) 224-4524
Mailing address
140 OXMOOR BLVD STE 140, HOMEWOOD, AL 35209-5985
(205) 224-4490
(205) 224-4524
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
AL
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/27/2018
Last updated
08/14/2019
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