Organization
MICROPHASE CLINICAL LABORATORY
Active
Other names
MICROPHASE CLINICAL LABORATORY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER RHETT WOODY MT (PRESIDENT)
(256) 882-7275
Entity
Organization
Contact information
Practice address
1428 WEATHERLY RD SE, SUITE 109, HUNTSVILLE, AL 35803-1181
(256) 882-7275
(256) 882-3853
Mailing address
PO BOX 4112, HUNTSVILLE, AL 35815-4112
(256) 882-7275
(256) 882-3853
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12353
AL
Other
Enumeration date
12/14/2006
Last updated
09/14/2010
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