Provider Demographics
NPI:1164775862
Name:SOUTHERN LAB PARTNERS, LLC
Entity Type:Organization
Organization Name:SOUTHERN LAB PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-661-0001
Mailing Address - Street 1:2732 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-3406
Mailing Address - Country:US
Mailing Address - Phone:205-661-0001
Mailing Address - Fax:205-661-0009
Practice Address - Street 1:2732 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3406
Practice Address - Country:US
Practice Address - Phone:205-661-0001
Practice Address - Fax:205-661-0009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCON HEALTH CARE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-18
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory