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Organization

MONROE COUNTY HEALTH CARE AUTHORITY

Active
Other names
Monroe County Hospital Lab
Organization subpart
No

Provider details

NPI number
Authorized official
GLENDA GRIFFIN (IT SPECIALIST)
(251) 575-3111
Entity
Organization

Contact information

Practice address
2016 S ALABAMA AVE, MONROEVILLE, AL 36460
(251) 575-3111
(251) 743-7428
Mailing address
P.O. BOX 886, MONROEVILLE, AL 36461
(251) 575-3111
(251) 743-7428

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0100671555
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100671555
CLIA
AL
01
51032172
BCBS PROVIDER NUMBER
AL
Enumeration date
03/06/2007
Last updated
07/17/2018
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