Individualized Treatment Technologies Laboratories, Llc, NPI 1043658966
Clinical Medical Laboratory in Huntsville, AL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043658966
NPI Entity Type Organization
Provider Name Individualized Treatment Technologies Laboratories, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2705 Artie St Sw, Building 400 Suite 25, Huntsville, AL, US
Provider Mailing Address 303 Williams Ave Sw, Suite 135, Huntsville, AL, US, 358016012
Is Sole Proprietor? No
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Organization Official

Official Name MR. Johnny L. Stoddard
Official Position PRESIDENT AND CEO
Phone 256-714-2105

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. L45100
License State AL
Description (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.

Business Address

Individualized Treatment Technologies Laboratories, Llc
2705 Artie St Sw
Building 400 Suite 25

Huntsville, AL, US

Phone: 256-434-5160
Fax: 205-930-0082

Mailing Address

Individualized Treatment Technologies Laboratories, Llc
303 Williams Ave Sw
Suite 135
Huntsville, AL, US
ZIP 358016012
Phone: 855-436-6728
Fax: 256-489-7134

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

291U00000X

Laboratories

Clinical Medical Laboratory

L37174 AL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0544256 NJ MEDICAID 05
08976741 MS MEDICAID 05
1043658966 MI MEDICAID 05
3578338 TX MEDICAID 05
82987564 NM MEDICAID 05
103155 AZ MEDICAID 05
185597 AL MEDICAID 05
201369650A IN MEDICAID 05
212246709 AR MEDICAID 05
L00494 SC MEDICAID 05
1043658966 IL MEDICAID 05
7100419330 KY MEDICAID 05

Other Providers in AL, US

NPI Name Taxonomy Address

1982368486

MRS. Ariel Michelle Beam

Individual

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DR. PHD, LMFT Luciana Cunha Silva

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1487258463

ALC Ahna Denete Ravan

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1508459421

Lindsay Higgins

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1023749231

NP Byron Jawon Hathorn

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1689343816

Allison Michelle Kirkpatrick

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1346588852

Ecm Health Group Llc

Organization

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Orthopaedic Surgery Physician

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Eat. Talk. Play. Therapy

Organization

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400 19th St E

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1073044426

DR. M.D. Evan Daniel Broder

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Emergency Medicine Physician

2105 E South Blvd

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1750699492

DR. C.R.N.P. Arlinda Wormely

Individual

Family Nurse Practitioner

500 S 5th St

Gadsden, AL

1245955616

Ole Reliable Transport

Organization

Non-emergency Medical Transport (VAN)

1400 S Long St Lot 1002

Opelika, AL

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DR. Kathy Farley-cook

Individual

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1669197026

PA Rylee Mishell Loya

Individual

Physician Assistant

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1215652672

DR. DC Cynthia J Louis

Individual

Chiropractor

2316 Knollwood Dr Ste 5

Mobile, AL

1992995856

Amanda J August

Individual

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1073956744

DR. M.D. Harrison B Pearl

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Hemant K Sinha Pc

Organization

Specialist

Gadsden Regional Medical Center

1107 Goodyear Ave.

Gadsden, AL

1891734455

M.D. Robert Detrinis

Individual

Psychiatry Physician

7400 Roper Ln

Daphne, AL

1003187642

MD Anand Shanker Balachandran

Individual

Cardiovascular Disease Physician

400 Whitesport Dr Sw Ste 103

Huntsville, AL

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