Organization
MOLECULAR DIAGNOSTICS LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A BLACK (MANAGING MEMBER)
(205) 224-4490
Entity
Organization
Contact information
Practice address
140 OXMOOR BLVD STE 140, BIRMINGHAM, AL 35209-5985
(205) 224-4490
(205) 224-4524
Mailing address
140 OXMOOR BLVD STE 140, BIRMINGHAM, AL 35209-5985
(205) 224-4490
(205) 224-4524
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
04/04/2019
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