NPIMap

Organization Active NPI

University of Alabama at Birmingham

  • Clinical Medical Laboratory
  • Birmingham, AL
National Provider Identifier
1508051525
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice address
618 20TH Street South
Birmingham, AL 35294
Phone
(205) 934-2071
NPI assigned
Sep 12, 2007
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Reid F Jones
Title
Exec VP of Uahsf
Phone
(205) 731-9770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

618 20TH Street South
Birmingham, AL 35294

Mailing address

PO Box 55309
Birmingham, AL 35255-5309

Other names 1

  • UAB OBGYN Research and Diagnostic Lab Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050301000888 AL Part B Supplier - Independent Clinical Laboratory 3779487970 Practice locations: Birmingham, AL
O20051004001016 AL Part B Supplier - Independent Clinical Laboratory 3779487970 Practice locations: Birmingham, AL

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Uab Selma Family Medicine48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

618 20th St S
#365
Birmingham, AL 35233

720 20th St S
Birmingham, AL 35233
Phone (205) 934-4983

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1508051525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 20TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35294",
            "telephone_number": "205-934-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXEC VP OF UAHSF",
        "authorized_official_telephone_number": "205-731-9770"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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": "UAB OBGYN Research and Diagnostic Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UAB OBGYN Research and Diagnostic Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.