Organization
PATHOLOGY LABORATORY ASSOCIATES, INC.
Active
Parent organization
SYNERGY LABORATORIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGY LABORATORIES, INC.
Authorized official
MS. PATRICIA BRADLEY (BILLING DIRECTOR)
(251) 342-0030
Entity
Organization
Contact information
Practice address
100 MEMORIAL HOSPITAL DR STE 1D, MOBILE, AL 36608-1194
(251) 342-0030
(205) 449-3395
Mailing address
PO BOX 160105, MOBILE, AL 36616-1105
(251) 342-0030
(205) 449-3395
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
09890
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000054172
MEDICARE PAYOR ID
AL
05
—
531500800
—
AL
01
—
690007138
RAILROAD MEDICARE
AL
Enumeration date
07/01/2005
Last updated
12/22/2023
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