University Of South Alabama
Physiological Laboratory in Mobile, AL. Organization (NPI-2).
NPI number1457007635
StatusActive
Last updated in NPPESMar 17, 2022
Details
- NPI
- 1457007635
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of South Alabama
- Organization subpart
- No
- Enumeration date
- Feb 25, 2022
- Certification date
- Mar 17, 2022
- Last updated
- Mar 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
181 Hillcrest Rd Ste BMobile, AL 36608-5306
Phone 251-341-4656
Mailing address
307 University Blvd Admin Bldg 170Mobile, AL 36688-0001
Phone 251-445-9131
Authorized official
Benny Joseph Stover
Cfo
2514459164
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