Provider Demographics
NPI:1487669800
Name:H H BELL JR MEDICAL LABORATORY PC
Entity Type:Organization
Organization Name:H H BELL JR MEDICAL LABORATORY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:BELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:240-432-0117
Mailing Address - Street 1:6885 CARAVAN CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4047
Mailing Address - Country:US
Mailing Address - Phone:240-432-0117
Mailing Address - Fax:509-278-3307
Practice Address - Street 1:1514 13TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1949
Practice Address - Country:US
Practice Address - Phone:240-432-0117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI41271Medicare UPIN