Provider Demographics
NPI:1396815536
Name:PATHOLOGY ASSOCIATES OF ALABAMA
Entity Type:Organization
Organization Name:PATHOLOGY ASSOCIATES OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-783-3441
Mailing Address - Street 1:402 OFFICE PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2431
Mailing Address - Country:US
Mailing Address - Phone:205-802-5220
Mailing Address - Fax:
Practice Address - Street 1:800 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1908
Practice Address - Country:US
Practice Address - Phone:205-802-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE332Medicare ID - Type UnspecifiedGROUP MEDICARE ID#