PROTEUS MOLECULAR AND CLINICAL LAB LLC


Address: 218 Summit Pkwy, Suite 250, Homewood, AL 35209
Phone: 2058200115

PROTEUS MOLECULAR AND CLINICAL LAB LLC (NPI# 1538542196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538542196
Entity Type Organization
Organization Name PROTEUS MOLECULAR AND CLINICAL LAB LLC
Other Organization Name PROTEUS LAB
Practice Address 218 Summit Pkwy
Suite 250
Homewood
AL 35209
Mailing Address 218 Summit Pkwy
Suite 250
Homewood
AL 35209-4732
Practice Telephone 2058200115
Mailing Telephone 2058200115
Enumeration Date 2015-07-01
Last Update Date 2018-06-18
Authorized Official Name MICHAEL A GRIFFITH (MEMBER MANAGER)
Authorized Official Telephone 2058200115
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory AL Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
AL 198878 05

Other Provider/Organization Names

Other Name Type Code
Proteus Lab Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Proteus Molecular and Clinical Lab LLC 218 Summit Pkwy, Ste 250, Homewood, AL 35209

Office Location

Street Address 218 SUMMIT PKWY
SUITE 250
City HOMEWOOD
State AL
Zip Code 35209

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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
1124407739 Randall Alban Nurse Practitioner 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 2015-05-28
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy 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 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.

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NPI Name Taxonomy Address Enumeration
1861900698 Lab Works, LLC Clinical Medical Laboratory 100 Oxmoor Blvd, Suite 190, Homewood, AL 35209-0140 2018-01-15
1952431538 Glass Clinical Labs Inc. Clinical Medical Laboratory 18238 Aida Ct, Homewood, IL 60430-2867 2007-03-06
1225523608 Red Mountain Diagnostics, LLC Clinical Medical Laboratory 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 2018-06-27
1841798667 Devansh Lab Werks,inc Clinical Medical Laboratory 234 Aquarius Dr Ste 111, Homewood, AL 35209-5867 2018-01-26
1730558602 Circulogene Theranostics LLC Clinical Medical Laboratory 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 2015-09-21
1689922668 Skin Diagnostics Group, PC Clinical Medical Laboratory 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 2012-08-22

Providers in the same taxonomy and state

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1952908626 Matrix Labs Clinical Medical Laboratory 4100 Mcclellan Blvd Ste 102, Anniston, AL 36201-2132 2020-10-06
1619574621 Prestige Laboratory Services Clinical Medical Laboratory 857 Downtowner Blvd Ste H, Mobile, AL 36609-5420 2020-10-02
1740897123 Labs Plus, LLC Clinical Medical Laboratory 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 2020-09-29
1841800232 Amh Staffing Agency Clinical Medical Laboratory 9925 County Road 63, Plantersville, AL 36758-2853 2020-07-31
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1407487465 Golden Point Solutions LLC Clinical Medical Laboratory 411a Lorna Sq, Vestavia Hills, AL 35216-5418 2020-01-29
1386284156 Magnolia Diagnostic Laboratories, LLC Clinical Medical Laboratory 2868 Acton Rd Ste 205, Vestavia, AL 35243-2502 2020-01-09
1780220863 Sharon Masters Clinical Medical Laboratory 1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720 2019-11-23
1518518968 Daniel Loper Clinical Medical Laboratory 3750 Moffett Rd, Mobile, AL 36618-1208 2019-09-26
1124676796 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 1845 Cherry St Fl 2, Montgomery, AL 36107-2613 2019-08-27
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Competitor

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City HOMEWOOD
Zip Code 35209

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Dataset Information

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.

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