University of South Alabama

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIVERSITY OF SOUTH ALABAMA

Practice address

2451 Fillingim St
Moorer BLDG
Mobile, AL 36617-2238

Phone

(251) 471-7204

NPI assigned

Jan 7, 2016

Organization subpart

Yes

Parent organization

UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

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

Authorized official

Name

Mr. Harvey Ikner

Title

Asso Admin for Ambulatory Clinics

Phone

(251) 470-1671

Specialties & licenses 1

Addresses

Other names 1

• USA Anatomical Pathology Lab Doing business as

Part of

University of South Alabama Mitchell Cancer Institute

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022

  Member Of

  NPD member

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1265898167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MOORER BLDG",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN FOR AMBULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Anatomical Pathology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama
• University of South Alabama

• Clinical Medical Laboratory in Mobile, AL
• Providers in Mobile, 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 Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.