Provider Demographics
NPI: | 1972882686 |
---|---|
Name: | ABSOLUTE DRUG DETECTION SERVICES, INC |
Entity type: | Organization |
Organization Name: | ABSOLUTE DRUG DETECTION SERVICES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CHAUNCEY |
Authorized Official - Middle Name: | B |
Authorized Official - Last Name: | THUSS |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 205-945-8185 |
Mailing Address - Street 1: | 2124 4TH AVE S |
Mailing Address - Street 2: | |
Mailing Address - City: | BIRMINGHAM |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35233-2204 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 205-945-8185 |
Mailing Address - Fax: | 205-397-1657 |
Practice Address - Street 1: | 2124 4TH AVE S |
Practice Address - Street 2: | |
Practice Address - City: | BIRMINGHAM |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35233-2204 |
Practice Address - Country: | US |
Practice Address - Phone: | 205-945-8185 |
Practice Address - Fax: | 205-397-1657 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-08-11 |
Last Update Date: | 2011-08-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 0000265262 | 291U00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 291U00000X | Laboratories | Clinical Medical Laboratory |