NPIMap

Organization Active NPI

University of Alabama Health Services Foundation, PC

  • Clinical Medical Laboratory
  • Birmingham, AL
National Provider Identifier
1164617205
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
Practice address
720 20TH St S
Birmingham, AL 35233-2032
Phone
(205) 934-4983
NPI assigned
Sep 12, 2007
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reid F Jones
Title
Exec VP of Uahsf
Phone
(205) 731-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

720 20TH St S
Birmingham, AL 35233-2032

Mailing address

PO Box 55309
Birmingham, AL 35255-5309

Other identifiers 3

IdentifierTypeStateIssuer
051053836OtherALBLUE CROSS
000053836OtherALMEDICARE PTAN
000053836MedicaidAL

Other names 1

  • Molecular Genetics Lab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000261 AL Part B Supplier - Clinic/Group Practice 1951213107 Receives reassigned benefits from 4,706 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardendale, AL; Hoover, AL; Huntsville, AL; Jacksonville, AL; Midfield, AL; Montgomery, AL; Moody, AL; Mountain BRK, AL…
O20041123000597 AL Part B Supplier - Independent Clinical Laboratory 1951213107 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1019850Metabolic Disease Laboratory720 20TH Street South Kaul BLDG RM 648, Birmingham, AL 35233ComplianceNov 4, 2026
01D1043216Uab Biochemical Genetics Lab720 20TH Street South Kaul 634, Birmingham, AL 35233ComplianceFeb 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
J Listinsky MD28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 157

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 157

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1164617205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 20TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332032",
            "telephone_number": "205-934-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXEC VP OF UAHSF",
        "authorized_official_telephone_number": "205-731-9770"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051053836",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000053836",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053836",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Genetics Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Molecular Genetics Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.