Organization Active NPI

Nephrology Vascular Lab

  • Medical Specialty Clinic/Center
  • Birmingham, AL
National Provider Identifier
1659620912
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NEPHROLOGY VASCULAR LAB
Practice address
1280 Columbiana Rd
Suite108
Birmingham, AL 35216-1642
Phone
(205) 916-5201
Fax
(205) 916-5270
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Authorized official

Name
Mark Collins
Title
Director
Phone
(205) 916-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1280 Columbiana Rd
Suite108
Birmingham, AL 35216-1642

Mailing address

1280 Columbiana Rd
Suite108
Birmingham, AL 35216-1642
Phone (205) 916-5201

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
01D2148089Nephrology Vascular Lab of Central Al ASC, LLC1280 Columbiana Road, Suite 120, Birmingham, AL 35216Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fresenius Medical Care-Ea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1280 Columbiana Rd
Ste 108
Vestavia Hills, AL 35216
Phone (205) 916-5201

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1659620912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 COLUMBIANA RD",
            "address_2": "SUITE108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161642",
            "telephone_number": "205-916-5201",
            "fax_number": "205-916-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 COLUMBIANA RD",
            "address_2": "SUITE108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161642",
            "telephone_number": "205-916-5201",
            "fax_number": "205-916-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY VASCULAR LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-916-5201"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.