Gulf Coast Molecular Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GULF COAST MOLECULAR LABORATORIES, LLC

Practice address

11617 Hwy 31
Unit 3
Spanish Fort, AL 36527

Phone

(251) 494-2540

Fax

(205) 374-8606

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. James Potter

Title

Administrator

Phone

(251) 494-2540

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1780160770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11617 HWY 31",
            "address_2": "UNIT 3",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-494-2540",
            "fax_number": "251-930-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11617 HWY 31",
            "address_2": "UNIT 3",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-494-2540",
            "fax_number": "205-374-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MOLECULAR LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-494-2540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227036",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427926701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Bourdon Ganey, CRNP
• Mackenzie Coghlan Gooch
• Courtney B Greener, RPH
• Gregory M. Sweeney, Jr. D.M.D., P.C.
• Jennifer Kathleen Griffin, M.D.
• Gulf Coast Neurowellness LLC
• Caroline Harrison
• Mary Darlene Hazard, CRNP
• Healthsource Chiropractic of Spanish Fort LLC
• Hemacare Plus Inc.

• Clinical Medical Laboratory in Spanish Fort, AL
• Providers in Spanish Fort, 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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.