SOUTHERN DIAGNOSTIC LABORATORIES, LLC (NPI# 1255647046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255647046 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
463 Saint Lukes Dr Montgomery AL 36117-7107 |
| Mailing Address |
2732 7th Ave S Birmingham AL 35233-3406 |
| Practice Telephone | 3342795412 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | MR. ROSS W JONES (BILLING MANAGER) |
| Authorized Official Telephone | 3343585966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356657126 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2105 Florence Blvd, Florence, AL 35630-2853 | 2010-08-31 |
| 1235445024 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 100 Rice Mine Road Loop, Suite 100, Tuscaloosa, AL 35406-2425 | 2010-08-31 |
| 1780990564 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 1450 Jones Dairy Rd, Jasper, AL 35501-6106 | 2010-08-31 |
| 1336468784 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 1050 River Oaks Drive, Suite 120, Flowood, MS 39292 | 2010-05-25 |
| Street Address |
463 SAINT LUKES DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861012361 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 129 Mitylene Park Lane, Montgomery, AL 36117-3758 | 2020-04-24 |
| 1124676796 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1845 Cherry St Fl 2, Montgomery, AL 36107-2613 | 2019-08-27 |
| 1033577168 | Qumar Healthcare Services, LLC | Clinical Medical Laboratory | 445 Dexter Ave, Suite 4050, Montgomery, AL 36104-3775 | 2016-02-03 |
| 1568837995 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4135 Atlanta Hwy Ste Z, Montgomery, AL 36109-3022 | 2015-12-10 |
| 1194109504 | Easy Mobile Labs Inc | Clinical Medical Laboratory | 8417 Crossland Loop, Montgomery, AL 36117-8485 | 2015-07-15 |
| 1366698763 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3060 Mobile Hwy # 36108, Montgomery, AL 36108-4027 | 2008-08-18 |
| 1316127194 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 45 Park Dr, Montgomery, PA 17752-8533 | 2007-11-08 |
| 1518092618 | Montgomery Div-bureau of Clinical Labs | Clinical Medical Laboratory | 8140 University Dr, Montgomery, AL 36117 | 2007-02-22 |
| 1285725614 | William Michael Bridger | Clinical Medical Laboratory | 2055 Normandie Dr Ste 208, Montgomery, AL 36111-2732 | 2006-09-28 |
| 1386622504 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 543 Hull St, Montgomery, AL 36104 | 2006-01-06 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.