Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
USA Reproductive Endocrinology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
HARVEY IKNER (ASSO ADMIN FOR AMBULATORY CLINICS)
(251) 470-1671
Entity
Organization
Contact information
Practice address
1720 CENTER ST, STE 101, MOBILE, AL 36604-3304
(251) 415-1496
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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