Provider Demographics
NPI:1871533174
Name:CONSULTATION LABORATORY INC
Entity type:Organization
Organization Name:CONSULTATION LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-502-6600
Mailing Address - Street 1:1600 CARRAWAY BLVD
Mailing Address - Street 2:SUITE 460
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35234
Mailing Address - Country:US
Mailing Address - Phone:205-502-6600
Mailing Address - Fax:205-502-6604
Practice Address - Street 1:1600 CARRAWAY BLVD
Practice Address - Street 2:SUITE 460
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35234-1913
Practice Address - Country:US
Practice Address - Phone:205-502-6600
Practice Address - Fax:205-502-6604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51533252OtherBCBS
ALK818Medicare ID - Type Unspecified