Organization
MONTGOMERY DIV-BUREAU OF CLINICAL LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS)
(334) 206-5061
Entity
Organization
Contact information
Practice address
8140 UNIVERSITY DR, MONTGOMERY, AL 36117
(334) 260-3400
Mailing address
8140 UNIVERSITY DR, MONTGOMERY, AL 36117-7001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
01D0641691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008062
—
AL
Enumeration date
02/22/2007
Last updated
09/18/2024
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