Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
USA Genetics Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
HARVEY IKNER (ASSO ADMIN FOR AMBIULATORY CLINICS)
(251) 470-1671
Entity
Organization
Contact information
Practice address
2451 FILLINGIM ST, MOORER BLDG 1535, MOBILE, AL 36617-2238
(251) 460-7700
(251) 461-1592
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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