Southern Lab Partners, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHERN LAB PARTNERS, LLC

Practice address

2732 7TH Ave S
Birmingham, AL 35233-3406

Phone

(205) 661-0001

Fax

(205) 661-0009

NPI assigned

Oct 18, 2012

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

FALCON HEALTH CARE SOLUTIONS, LLCAs reported in NPPES

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

Authorized official

Name

Ashley Potter

Title

Partner

Phone

(205) 661-0001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1164775862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333406",
            "telephone_number": "205-661-0001",
            "fax_number": "205-661-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333406",
            "telephone_number": "205-661-0001",
            "fax_number": "205-661-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LAB PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALCON HEALTH CARE SOLUTIONS, LLC",
        "enumeration_date": "2012-10-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-661-0001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.