1942051834 NPI number — HEALTH 1ST LABORATORIES & DIAGNOSTICS INC

Table of content: IRIS MARIE MARTINEZ COTA (NPI 1538790290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942051834 NPI number — HEALTH 1ST LABORATORIES & DIAGNOSTICS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH 1ST LABORATORIES & DIAGNOSTICS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942051834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 161171
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36616-2171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-610-5191
Provider Business Mailing Address Fax Number:
877-208-4023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3100 COTTAGE HILL RD STE 501
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36606-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-408-9293
Provider Business Practice Location Address Fax Number:
877-208-4023
Provider Enumeration Date:
03/28/2024

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
TIFFANY
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
251-610-5191

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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