Organization
ATHEROTECH, INC.
Active
Other names
Atherotech, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A MUSIAL (CFO)
(205) 314-7506
Entity
Organization
Contact information
Practice address
201 LONDON PARKWAY, SUITE 400, BIRMINGHAM, AL 35211-4498
(800) 719-9807
(205) 314-7404
Mailing address
201 LONDON PARKWAY, SUITE 400, BIRMINGHAM, AL 35211-4498
(800) 719-9807
(205) 314-7404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
01D0641541
AL
291U00000X
Clinical Medical Laboratory
Primary
7587-L3733
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007816
BCBS PROVIDER NUMBER
AL
05
—
000007816
—
AL
Enumeration date
03/13/2007
Last updated
12/13/2012
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