Healthcare Provider Details

I. General information

NPI: 1215559968
Provider Name (Legal Business Name): MOBILE INFIRMARY ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MOBILE INFIRMARY CIR
MOBILE AL
36607-3513
US

IV. Provider business mailing address

PO BOX 2144
MOBILE AL
36652-2144
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-5037
  • Fax:
Mailing address:
  • Phone: 251-435-5037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RANDY REDFOOT
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 251-435-2290