SOUTHEAST CLINICAL LABORATORIES LLC


Address: 3621 3rd Ave S, Birmingham, AL 35222-1818
Phone: 2055680075

SOUTHEAST CLINICAL LABORATORIES LLC (NPI# 1730582594) 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) 1730582594
Entity Type Organization
Organization Name SOUTHEAST CLINICAL LABORATORIES LLC
Practice Address 3621 3rd Ave S
Birmingham
AL 35222-1818
Mailing Address 251 River Run Trl
Gadsden
AL 35901-8610
Practice Telephone 2055680075
Mailing Telephone 2055680075
Enumeration Date 2014-10-07
Last Update Date 2014-11-19
Authorized Official Name NICOLE BOYD (CEO)
Authorized Official Telephone 2055680075
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 3621 3RD AVE S
City BIRMINGHAM
State AL
Zip Code 35222-1818

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1962904433 Susan Marie Schillaci Social Worker Bvamc, 700 South 19th Street, Birmingham, AL 35222 2018-03-01
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1811313968 Pamela Valda Smith Registered Nurse 608 42nd Pl N, Birmingham, AL 35222-1137 2014-03-13
1285770263 J & B Management and Electric Supply Durable Medical Equipment & Medical Supplies 3225 8th Ave N, Birmingham, AL 35222-1225 2007-01-29
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1538443619 Dialysis Newco Inc Clinic/Center 3201 3rd Ave S, Birmingham, AL 35222-1707 2011-10-06
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780220863 Sharon Masters Clinical Medical Laboratory 1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720 2019-11-23
1801348743 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 2732 7th Ave South, Birmingham, AL 35233-3406 2016-10-26
1770940454 Laboratory Corporation of America Holdings Clinical Medical Laboratory 7131 Cahaba Valley Road, Birmingham, AL 35242 2016-01-26
1669879292 Castle Medical, LLC Clinical Medical Laboratory 1401 B Providence Park, Suite 1406-1407, Birmingham, AL 35242 2014-11-25
1780014159 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 806 Saint Vincents Drive, Suite 430, Birmingham, AL 35205-1616 2013-11-20
1801130448 Alacare Home Health Services Clinical Medical Laboratory 2970 A Lorna Road, Birmingham, AL 35216-0000 2012-11-20
1164775862 Southern Lab Partners, LLC Clinical Medical Laboratory 6262 Kidron Pl, Birmingham, AL 35235-2100 2012-10-18
1770869513 Laboratory Corporation of America Holdings Clinical Medical Laboratory 2022 Medical Center Dr, Suite 510, Birmingham, AL 35209-6808 2011-10-25
1548495575 Individualized Treatment Technologies Laboratories Clinical Medical Laboratory 1601 12th Ave S, First Floor, Birmingham, AL 35205-4709 2009-05-20
1811163264 Karlene Technical Laboratories LLC Clinical Medical Laboratory 1676 Banbury St, Birmingham, MI 48009-7159 2008-05-06
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City BIRMINGHAM
Zip Code 35222

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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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