RED MOUNTAIN DIAGNOSTICS, LLC (NPI# 1225523608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225523608 |
| Entity Type | Organization |
| Organization Name | RED MOUNTAIN DIAGNOSTICS, LLC |
| Practice Address |
140 Oxmoor Blvd Ste 140 Homewood AL 35209 |
| Mailing Address |
140 Oxmoor Blvd Ste 140 Homewood AL 35209-5985 |
| Practice Telephone | 2052244490 |
| Practice Fax Number | 2052244524 |
| Mailing Telephone | 2052244490 |
| Mailing Fax Number | 2052244524 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | KAREN LAKE (ADMINISTRATOR) |
| Authorized Official Telephone | 2053134628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
AL | Allopathic & Osteopathic Physicians |
| Street Address |
140 OXMOOR BLVD STE 140 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428892 | Donald R Simmons | Pathology | 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 | 2005-06-27 |
| 1730185489 | William T Devos | Pathology | 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428892 | Donald R Simmons | Pathology | 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 | 2005-06-27 |
| 1730185489 | William T Devos | Pathology | 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080529 | Usa Health Physician Billing Services LLC | Pathology | 2451 University Hospital Dr Fl 1, Mobile, AL 36617-2300 | 2019-05-31 |
| 1790219137 | Inform Diagnostics, Inc. | Pathology | 101b Villa Dr, Suite 108, Daphne, AL 36526-4653 | 2017-04-12 |
| 1649634445 | Elijah Stiefel | Pathology | 2550 Genoa Way Apt 102, Vestavia, AL 35243-7031 | 2016-04-07 |
| 1922468677 | Rex Daniel Roach IIi | Pathology | 6554 Lubarrett Way, Mobile, AL 36695-3825 | 2016-02-23 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1790027795 | Paul Wesley Gray Jr. | Pathology | 3206 Westburg Ct Sw, Huntsville, AL 35801-3331 | 2013-03-18 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1295003853 | Ronald Harris Dykes | Pathology | 115 Mountain Brook Dr, Scottsboro, AL 35768-7529 | 2011-12-09 |
| 1336440080 | George Van Eisenhart | Pathology | 2834 Shook Hill Cir, Birmingham, AL 35223-2600 | 2010-11-11 |
| Find all providers with the same taxonomy | ||||
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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.