Bridger Pathology Laboratores, P.a.
Organization Active NPI Clinical Medical Laboratory · Prattville, AL
NPI 1497826036 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1497826036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 5640 (AL)
- Legal business name
- BRIDGER PATHOLOGY LABORATORES, P.A.
- Practice address
- 635 McQueen Smith Rd N
1St Floor
Prattville, AL 36066-5561 - Phone
- (334) 288-4963
- Fax
- (334) 288-4250
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. William M Bridger Jr.
- Title
- President
- Phone
- (334) 288-4963
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Bridger Pathology Laboratores PA
Locations
635 McQueen Smith Rd N
Fl 1
Prattville, AL 36066
Phone (334) 288-4963
635 McQueen Smith Rd N
Ste C
Prattville, AL 36066
Phone (334) 356-6347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 5640 | AL | Yes |
Addresses
Primary practice location
635 McQueen Smith Rd N
1St Floor
Prattville, AL 36066-5561
Mailing address
2055 Normandie Dr
Suite 208
Montgomery, AL 36111-2732
Phone (334) 288-4963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51076442 | Other | AL | BCBS |
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All providers in Prattville, AL · Clinical Medical Laboratory in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.