NPIMap

Organization Active NPI

University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
National Provider Identifier
1497859052
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Practice address
2451 University Hospital Dr
Mobile, AL 36617-2300
Phone
(251) 471-7000
NPI assigned
Sep 12, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Kristen Roberts
Title
VP of Finance
Phone
(251) 460-1475

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
Medical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RX0202X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2451 University Hospital Dr
Mobile, AL 36617-2300

Mailing address

PO Box 746110
Atlanta, GA 30374-6110
Phone (251) 434-3505

Other names 1

  • USA Hospitals Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115000773 AL Part B Supplier - Clinic/Group Practice 3072425149 Receives reassigned benefits from 418 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Monroeville, AL; Fairhope, AL; Jackson, AL
O20251126000440 AL Part B Supplier - Independent Clinical Laboratory 3072425149 Practice locations: Mobile, AL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0305992Univ of South Alabama University Hospital2451 University Hospital Drive, Mobile, AL 36617AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Part of
USA HLT Ser FD Medicine

Locations

188 Hospital Dr
Ste 204
Fairhope, AL 36532

227 Hospital Dr
Jackson, AL 36545
Phone (251) 246-4446

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

1601 Center St
Ste 1D
Mobile, AL 36604
Phone (251) 410-5437

1601 Center St
Ste 25
Mobile, AL 36604
Phone (251) 665-8290

1601 Center St
Ste 2S
Mobile, AL 36604
Phone (251) 660-5108

1601 Center St
Ste 3D
Mobile, AL 36604

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1707 Center St
Ste 102
Mobile, AL 36604

1707 SPG HL Ave
Ste 201
Mobile, AL 36604
Phone (251) 415-8577

1720 Center St
Ste 103
Mobile, AL 36604
Phone (251) 415-1475

2451 University Hospital Dr
#D
Mobile, AL 36617
Phone (251) 445-9164

2451 University Hospital Dr
Ste 102
Mobile, AL 36617
Phone (251) 470-5890

307 N University Blvd
Ste 1100
Mobile, AL 36608
Phone (251) 405-9914

307 N University Blvd
Ste 1200
Mobile, AL 36688
Phone (251) 460-7681

3301 Knollwood Dr
#Four
Mobile, AL 36693
Phone (251) 660-5555

3401 Medical Park Dr
Ste 1-100
Mobile, AL 36693
Phone (251) 660-5793

3715 Dauphin St
Ste 4A
Mobile, AL 36608
Phone (251) 414-5900

51 Stadium Dr 218
Mobile, AL 36688
Phone (251) 461-1969

75 S University Blvd
#6000B
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Ste 6000B
Mobile, AL 36608
Phone (251) 660-5555

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
USA Health Providence HospitalMobile, AL, CCN 010090 Hospital 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 490

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 490

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1497859052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746110",
            "telephone_number": "251-434-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-471-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "251-460-1475"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Hospitals",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "USA Hospitals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.