SOUTHERN DIAGNOSTIC LABORATORIES, LLC (NPI# 1356657126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356657126 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
2105 Florence Blvd Florence AL 35630-2853 |
| Mailing Address |
2732 7th Ave S Birmingham AL 35233-3406 |
| Practice Telephone | 2567400900 |
| Practice Fax Number | 2567400630 |
| 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 |
|---|---|---|---|---|
| 1255647046 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 463 Saint Lukes Dr, Montgomery, AL 36117-7107 | 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 |
2105 FLORENCE BLVD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| 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 |
|---|---|---|---|---|
| 1740897123 | Labs Plus, LLC | Clinical Medical Laboratory | 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 | 2020-09-29 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1598959157 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 101 William H Johnson St Ste 600, Florence, SC 29506-2773 | 2007-08-28 |
| 1346346954 | Executor Diagnostics | Clinical Medical Laboratory | 1929 Mountain Laurel Ct # A, Florence, SC 29505-6053 | 2006-09-15 |
| 1790727923 | Lister Healthcare Corporation | Clinical Medical Laboratory | 2805 W Mall Dr, Florence, AL 35630-1563 | 2006-06-12 |
| 1558337212 | Florence Pathology Services LLC | Clinical Medical Laboratory | 1701 Veterans Dr, Florence, AL 35630-4928 | 2006-02-23 |
| 1750366753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1508a N Cashua Dr, Florence, SC 29501-6970 | 2005-12-13 |
| 1700867942 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1122 Bradshaw Dr, Florence, AL 35630-1438 | 2005-11-07 |
| 1255857280 | Qhg of South Carolina Inc | Clinical Medical Laboratory | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-08-22 |
| 1801244017 | Alternative Wellness Center | Clinical Medical Laboratory | 531 W Evans St, Suite B, Florence, SC 29501-3407 | 2016-05-27 |
| Find all providers in FLORENCE | ||||
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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.