Organization
FULLSCOPE MOBILE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY S GONZALES (OWNER)
(205) 722-3648
Entity
Organization
Contact information
Practice address
330 LEVINE RD, ODENVILLE, AL 35120-3607
(205) 722-3648
Mailing address
330 LEVINE RD, ODENVILLE, AL 35120-3607
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/18/2025
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