Organization
USA HEALTH SERVICES FOUNDATION
Active
Other names
USA Health Services Foundation Lab of Anatomical Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY S. TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization
Contact information
Practice address
2451 FILLINGIM ST, MOORER BLDG #1119, MOBILE, AL 36617-2238
(251) 471-7790
(251) 471-7715
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110645
—
MS
01
—
051054096
BCBS
AL
05
—
075493500
—
FL
05
—
1502022
—
LA
05
—
532000601
—
AL
01
—
690002900
RAILROAD MEDICARE PTAN
AL
Enumeration date
10/24/2006
Last updated
11/27/2013
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