University of South Alabama

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIVERSITY OF SOUTH ALABAMA

Doing business as

USA Genetics Lab

Practice address

2451 Fillingim St
Moorer BLDG 1535
Mobile, AL 36617-2238

Phone

(251) 460-7700

Fax

(251) 461-1592

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By the provider in NPPES

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

Harvey Ikner

Title

Asso Admin for Ambiulatory Clinics

Phone

(251) 470-1671

Specialties & licenses 1

Addresses

Other names 1

• USA Genetics Lab Doing business as

Part of

Univ So Al Med Ctr

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1326408733",
    "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 1535",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-460-7700",
            "fax_number": "251-461-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN FOR AMBIULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Genetics Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of South Alabama
• University of South Alabama (USA OBGYN)
• University of South Alabama (USA Anatomical Pathology Lab)
• University of South Alabama (USA Pediatric Therapy - Speech Therapy)
• University of South Alabama (USA Neurological Surgery)
• University of South Alabama
• University of South Alabama (USA Pathology)
• University of South Alabama (MCIRx)
• University of South Alabama (USA Stanton Road Clinic)
• University of South Alabama (USA Rheumatology)

• 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 26, 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.