Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Active
Other names
USA Clinical Genetics Lab
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN OWEN BAILEY (CEO/CONTRACT OFFICER)
(251) 471-7118
Entity
Organization
Contact information
Practice address
307 UNIVERSITY BLVD N, CCCB BLDG. #214, MOBILE, AL 36688-3053
(251) 470-5842
(251) 470-5809
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
—
00124456
—
MS
01
—
051054097
BCBS
AL
05
—
075487100
—
FL
05
—
09015722
—
MS
05
—
1881759
—
LA
05
—
530200801
—
AL
Enumeration date
10/06/2006
Last updated
11/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us