PROVIDENCE HOSPITAL
NPI 1043804628
Clinical Medical Laboratory in Mobile, AL

Active since February 24, 2021CLIA 01D0665335 · Accreditation
6701 AIRPORT BLVD BLDG B, MOBILE, AL 36608(251) 266-2883 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOSPITAL (NPI 1043804628) is a healthcare organization registered as a clinical medical laboratory in Mobile, Alabama and active in the NPI registry since February 2021. The organization holds an CLIA Accreditation certificate valid through February 8, 2027, maintains a secondary practice location in Mobile, and lists Kathleen Hedrick, Director Net Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1043804628
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVIDENCE HOSPITAL
Location Address6701 AIRPORT BLVD BLDG BMobile, AL 36608-6705
Mailing Address1130 22nd St S Ste 1000Birmingham, AL 35205-2881 · (205) 212-6652
Organization SubpartNo
Authorized OfficialKathleen HedrickDirector Net Revenue Management · (205) 212-6652
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1043804628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
6701 AIRPORT BLVD BLDG B, Mobile, AL 36608

Secondary Practice Location 1

Location 16801 Airport BlvdMobile, AL 36608-3785 · Phone (251) 266-1400

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0665335

Providence Hospital Laboratory · Mobile, AL
Active · expires Feb 8, 2027
CLIA Number01D0665335
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Todd J. Kendall
Laboratory Phone(251) 633-1401
Laboratory LocationProvidence Hospital Laboratory6801 Airport Blvd, Mobile, AL 36608
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
6701 AIRPORT BLVD BLDG B
MOBILE, AL 36608
Radiology (Radiation Oncology)
6701 AIRPORT BLVD BLDG B
MOBILE, AL 36608
Internal Medicine (Hematology & Oncology)
6701 AIRPORT BLVD BLDG B
MOBILE, AL 36608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Hospital's NPI number?

The NPI number for Providence Hospital is 1043804628. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Providence Hospital located?

Providence Hospital is located at 6701 Airport Blvd Bldg B, Mobile, AL 36608. The listed phone number is (251) 266-2883.

What is Providence Hospital's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Providence Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0665335) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Hospital was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.