Microphase Clinical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

12353 Issued in AL

Legal business name

MICROPHASE CLINICAL LABORATORY

Practice address

1428 Weatherly Rd SE
Suite 109
Huntsville, AL 35803-1181

Phone

(256) 882-7275

Fax

(256) 882-3853

NPI assigned

Dec 14, 2006

Last updated

Sep 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Walter Rhett Woody, MTNPI 1447324108

Title

President

Phone

(256) 882-7275

Specialties & licenses 1

Addresses

Other names 1

• MICROPHASE CLINICAL LABORATORY INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Complete Diagnostic Laboratories, LLC

  • Clinical Medical Laboratory
  • Southaven, MS
  • NPI 1659143899

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Walter Rhett Woody III, MT

  • Medical Technologist
  • Huntsville, AL
  • NPI 1447324108
  NPD Authorized official
• William Budd, PHD

  • Clinical Laboratory Director (Non-physician)
  • Olive Branch, MS
  • NPI 1497497226
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1619039047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4112",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358154112",
            "telephone_number": "256-882-7275",
            "fax_number": "256-882-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 WEATHERLY RD SE",
            "address_2": "SUITE 109",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031181",
            "telephone_number": "256-882-7275",
            "fax_number": "256-882-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROPHASE CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RHETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-882-7275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICROPHASE CLINICAL LABORATORY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Venezia Counseling LLC
• Michaela Whitehead Counseling, LLC
• Rosa Mayela Michel Ortega, M.D.
• Michelle R. Grana, DO; PC
• Alicia Jamelle Mickles, D.D.S.
• Mid South Rehab Outpatient, LLC
• Mid-South Home Care Services, Inc. (Mid-South Respiratory Services & HME)
• Mid-South Home Health, LLC (Centerwell Home Health)
• Amaya Ashanti Middlebrooks
• Denia Ayanna Middleton

• Clinical Medical Laboratory in Huntsville, AL
• Providers in Huntsville, 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 Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.