Organization
BRIDGER PATHOLOGY LABORATORES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M BRIDGER JR. (PRESIDENT)
(334) 288-4963
Entity
Organization
Contact information
Practice address
635 MCQUEEN SMITH RD N, 1ST FLOOR, PRATTVILLE, AL 36066-5561
(334) 288-4963
(334) 288-4250
Mailing address
2055 NORMANDIE DR, SUITE 208, MONTGOMERY, AL 36111-2732
(334) 288-4963
(334) 288-4250
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51076442
BCBS
AL
Enumeration date
11/13/2006
Last updated
02/08/2008
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