Healthcare Provider Details

I. General information

NPI: 1043330202
Provider Name (Legal Business Name): ALABAMA PATHOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 NORMANDIE DR
MONTGOMERY AL
36111-2732
US

IV. Provider business mailing address

225B WINTON M BLOUNT LOOP
MONTGOMERY AL
36117-3507
US

V. Phone/Fax

Practice location:
  • Phone: 334-263-6228
  • Fax: 334-288-2917
Mailing address:
  • Phone: 334-263-6228
  • Fax: 334-265-9136

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: MR. JAY HELMER
Title or Position: ADMINISTRATOR
Credential:
Phone: 334-263-6228