Healthcare Provider Details
I. General information
NPI: 1073921607
Provider Name (Legal Business Name): UAB NANOSTRING LABORATORY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 6TH AVENUE SOUTH 176F HSROC RM 2222G
BIRMINGHAM AL
35246
US
IV. Provider business mailing address
PO BOX 55310
BIRMINGHAM AL
35255-5310
US
V. Phone/Fax
- Phone: 205-731-9701
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
BRUCE
KORF
Title or Position: DIRECTOR
Credential:
Phone: 205-934-5670