Usa Clinical Genetics Lab

LBN: University Of South Alabama Health Services Foundation
Usa Clinical Genetics Lab is an health care organization with primary practice located at 307 University Blvd N Cccb Bldg. #214, Mobile AL 36688-3053. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. University Of South Alabama Health Services Foundation can be contacted via phone (251) 470-5842, or through Bailey, Glen Owen via phone (251) 471-7118.

Contact Information

Primary practice address
307 University Blvd N Cccb Bldg. #214 Mobile AL 36688-3053
Fax: (251) 470-5809
Website:
Authorized official contact:
Name: Bailey, Glen Owen

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1548357916
LBN Legal business name University Of South Alabama Health Services Foundation
DBA Doing business as Usa Clinical Genetics Lab
Authorized official Bailey, Glen Owen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Nov 7th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548357916 NPPES
Mississippi MEDICAID 00124456
Mississippi Other 051054097
Mississippi MEDICAID 09015722
Mississippi MEDICAID 075487100
Mississippi MEDICAID 530200801
Mississippi MEDICAID 1881759

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