Provider Demographics
NPI:1760366546
Name:COMPLETE BIRMINGHAM
Entity type:Organization
Organization Name:COMPLETE BIRMINGHAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-263-3474
Mailing Address - Street 1:775 MONTCLAIR RD APT A
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1915
Mailing Address - Country:US
Mailing Address - Phone:678-640-6198
Mailing Address - Fax:
Practice Address - Street 1:775 MONTCLAIR RD APT A
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1915
Practice Address - Country:US
Practice Address - Phone:404-263-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory