Organization Active NPI

University of South Alabama

Doing business as USA Reproductive Endocrinology Lab

  • Clinical Medical Laboratory
  • Mobile, AL
National Provider Identifier
1851759450
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Doing business as
USA Reproductive Endocrinology Lab
Practice address
1720 Center St
Ste 101
Mobile, AL 36604-3304
Phone
(251) 415-1496
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Harvey Ikner
Title
Asso Admin for Ambulatory Clinics
Phone
(251) 470-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1720 Center St
Ste 101
Mobile, AL 36604-3304

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other names 1

  • USA Reproductive Endocrinology Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ So Al Med Ctr53 organizations share this tax ID, including this one
Part of
Univ So Al Med Ctr

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1851759450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CENTER ST",
            "address_2": "STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043304",
            "telephone_number": "251-415-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN FOR AMBULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Reproductive Endocrinology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.