Cullman Primary Care, Pc in Cullman - Clinical Medical Laboratory
Cullman Primary Care, Pc - NPI 1982685178
Cullman Primary Care, Pc is a Clinical Medical Laboratory in Cullman, Alabama. Cullman Primary Care, Pc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Cullman Primary Care, Pc is 1982685178. The last update date is 2023-08-31.
Cullman Primary Care, Pc's current location address is 503 Clark St Ne, Cullman, Alabama. You can contact this provider via phone number 2567391759 and fax number 2567390027. The mailing address for Cullman Primary Care, Pc is 503 Clark St Ne, Cullman, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cullman Primary Care, Pc |
---|---|
Address | 503 Clark St Ne, Cullman, Alabama |
Phone Number | 2567391759 |
Fax Number | 2567390027 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SUPERVISIN |
---|---|
Authorized Official Name | Bostick G Ben |
Credentials | M.D. |
Telephone Number | 2567343141 |
NPI Number Detail
NPI Number | 1982685178 |
---|---|
Provider Enumeration Date | 2005-11-07 |
Last Updated Date | 2023-08-31 |
Provider Mailing Address Detail
Address | 503 Clark St Ne |
---|---|
City | Cullman |
State | Alabama (AL) |
Post Code | 350551921 |
Phone Number | 2567391759 |
Fax Number | 2567390027 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
---|---|
Taxonomy | 291U00000X |
Licence No | 01D0300133 |
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
40933 | AL | MEDICARE GROUP ID | |
40933 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cullman Primary Care, Pc by the Centers for Medicare & Medicaid Services?
The Cullman Primary Care, Pc has been issued the NPI (National Provider Identifier) 1982685178, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Cullman Primary Care, Pc is physically located?
The Cullman Primary Care, Pc is physically situated at the following address: 503 Clark St Ne, Cullman, AL, 350551921.
What is Cullman Primary Care, Pc's area of expertise and its corresponding taxonomy classification?
The Cullman Primary Care, Pc's field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Cullman Primary Care, Pc receive its 1982685178 assignment from the Centers for Medicare & Medicaid Services?
The Cullman Primary Care, Pc was assigned its 1982685178 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Cullman Primary Care, Pc most recently updated or revised?
The information pertaining to Cullman Primary Care, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-31.