Organization · Type 2 NPI

Houston County Healthcare Authority

Clinical Medical Laboratory · Dothan, AL

NPI number 1114161601 Active

Practice location

1108 Ross Clark Cir
Dothan, AL 36301-3022

Call (334) 793-8048 Map

Fax (334) 712-3122

Mailing address

PO Box 1928
Dothan, AL 36302-1928

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	200812031750 (AL)

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 det…

201 other providers at this address

Other clinical medical laboratory providers in Dothan

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NPI record

NPI: 1114161601
Entity type: Organization (Type 2)
Issued: Apr 28, 2009
Last updated: Jul 20, 2012
Status: Active
Subpart: Yes of Houston County Healthcare Authority

Other names

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Southeast Reference Services · doing business as

Authorized official

Deborah S. Woodham, CPC
Contract Manager
(334) 793-8087

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114161601

Houston County Healthcare Authority's National Provider Identifier is 1114161601, issued on Apr 28, 2009. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Dothan, AL. The record was last updated on Jul 20, 2012.