Nephrology Vascular Lab
Clinic/Center, Medical Specialty in Birmingham, AL. Organization (NPI-2).
NPI number1659620912
StatusActive
Last updated in NPPESSep 2, 2012
Details
- NPI
- 1659620912
- Entity type
- Organization (NPI-2)
- Legal business name
- Nephrology Vascular Lab
- Organization subpart
- No
- Enumeration date
- Sep 2, 2012
- Last updated
- Sep 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
1280 Columbiana RdSuite108
Birmingham, AL 35216-1642
Phone 205-916-5201 · Fax 205-916-5270
Mailing address
1280 Columbiana RdSuite108
Birmingham, AL 35216-1642
Phone 205-916-5201 · Fax 205-916-5270
Authorized official
Mark Collins
Director
2059165201
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