Healthcare Provider Details

I. General information

NPI: 1902271208
Provider Name (Legal Business Name): BUSINESS LAB SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 HIGHWAY 280 SUITE 215
BIRMINGHAM AL
35242-6582
US

IV. Provider business mailing address

5510 HIGHWAY 280 SUITE 215
BIRMINGHAM AL
35242-6582
US

V. Phone/Fax

Practice location:
  • Phone: 205-968-1090
  • Fax: 205-968-1093
Mailing address:
  • Phone: 205-968-1090
  • Fax: 205-968-1093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY POUNCEY
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 205-305-2801