Organization Active NPI

Northeast Alabama Pathology, LLC

  • Clinical Medical Laboratory
  • Anniston, AL
National Provider Identifier
1497017925
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHEAST ALABAMA PATHOLOGY, LLC
Practice address
171 Town Center Dr
Suite M-1B
Anniston, AL 36205-4102
Phone
(256) 241-2276
Fax
(256) 238-0555
NPI assigned
Jun 11, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Thomas Garland, MD
Title
MD
Phone
(256) 235-5271

Specialties & licenses 1

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

Addresses

Primary practice location

171 Town Center Dr
Suite M-1B
Anniston, AL 36205-4102

Mailing address

PO Box 968
Anniston, AL 36202-0968
Phone (256) 235-5271

Other identifiers 1

IdentifierTypeStateIssuer
TAX IDOtherAL

National Provider Directory

National Provider Directory

Locations

171 Town Center Dr
Ste M1B
Anniston, AL 36205
Phone (256) 241-2274

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497017925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362020968",
            "telephone_number": "256-235-5271",
            "fax_number": "256-238-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR",
            "address_2": "SUITE M-1B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054102",
            "telephone_number": "256-241-2276",
            "fax_number": "256-238-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-235-5271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "TAX ID",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.