McRae Prostate Cancer Awareness Foundation

Organization Clinical Medical Laboratory · NPI 1144598772

McRae Prostate Cancer Awareness Foundation is a Clinical Medical Laboratory in Tuskegee, Alabama. Licensed in Alabama. Registered with an NPI since 2011.

Licensed in: AL
In the registry since: 2011

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Practice location Address checks out

503 W Mlk Hwy
Tuskegee, AL 36083-2142
Phone: (334) 226-1177
Fax: (334) 226-1108

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Specialties & licences

Clinical Medical Laboratory (primary)	Taxonomy 291U00000X · Licence L4401 (AL)

Record details

NPI number	1144598772
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Lawrence McRae — Executive Director · (334) 226-1177
NPI enumerated	December 10, 2011
Last updated in NPPES	December 10, 2011
Mailing address	503 W Mlk Hwy, Tuskegee, AL 36083-2142