Organization
PROTEUS MOLECULAR AND CLINICAL LAB LLC
Active
Other names
Proteus Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A GRIFFITH (MEMBER MANAGER)
(205) 820-0115
Entity
Organization
Contact information
Practice address
218 SUMMIT PKWY, SUITE 250, HOMEWOOD, AL 35209
(205) 820-0115
Mailing address
218 SUMMIT PKWY, SUITE 250, HOMEWOOD, AL 35209-4732
(205) 820-0115
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198878
—
AL
Enumeration date
07/01/2015
Last updated
06/18/2018
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