Organization
NEPHROLOGY VASCULAR LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COLLINS (DIRECTOR)
(205) 916-5201
Entity
Organization
Contact information
Practice address
1280 COLUMBIANA RD, SUITE108, BIRMINGHAM, AL 35216-1642
(205) 916-5201
(205) 916-5270
Mailing address
1280 COLUMBIANA RD, SUITE108, BIRMINGHAM, AL 35216-1642
(205) 916-5201
(205) 916-5270
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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