Molecular Diagnostics Laboratory

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MOLECULAR DIAGNOSTICS LABORATORY

Practice address

140 Oxmoor Blvd Ste 140
Birmingham, AL 35209-5985

Phone

(205) 224-4490

Fax

(205) 224-4524

NPI assigned

Feb 6, 2018

Last updated

Apr 4, 2019By 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. Robert A Black

Title

Managing Member

Phone

(205) 224-4490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1841799764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD STE 140",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095985",
            "telephone_number": "205-224-4490",
            "fax_number": "205-224-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD STE 140",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095985",
            "telephone_number": "205-224-4490",
            "fax_number": "205-224-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR DIAGNOSTICS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "205-224-4490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Raqeeb Mohammed
• Ali Ahmed Mohammed
• Alina Mohanty, MD
• Sean Michael Mohatt, ATC
• Ada Molden, OTR/L
• Iram Moledina
• Adolfo Leonel Molina, M.D.
• Erick Molina, DMD
• Samuel Molli, MA
• Amit Momaya

• Health Service Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.