HUNTSVILLE CLINIC LAB LLC (NPI# 1336424555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336424555 |
| Entity Type | Organization |
| Organization Name | HUNTSVILLE CLINIC LAB LLC |
| Practice Address |
420 Lowell Dr Se Suite 201 Huntsville AL 35801-3754 |
| Practice Telephone | 2565355944 |
| Practice Fax Number | 8883894041 |
| Mailing Telephone | 2565355944 |
| Mailing Fax Number | 8883894041 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DR. TOBIN JOE FISHER (CLINIC DIRECTOR) |
| Authorized Official Telephone | 2565355944 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | AL | Laboratories |
| Street Address |
420 LOWELL DR SE SUITE 201 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404978 | Ali A M Hassoun | Internal Medicine | 420 Lowell Dr Se, Suite 301, Huntsville, AL 35801-3754 | 2005-08-17 |
| 1275984916 | John E Fanning,md,inc | Internal Medicine | 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 | 2016-06-23 |
| 1114387289 | Tecie Haller | Nurse Practitioner | 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 | 2016-03-02 |
| 1437564200 | Premier Internal Medicine Associates, PC | Internal Medicine | 420 Lowell Dr Se, Suite 302, Huntsville, AL 35801-3754 | 2014-06-30 |
| 1760896856 | Hh Digestive Disease Center | Nurse Practitioner | 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 | 2014-06-17 |
| 1821331562 | David K Calderwood Md PC | Family Medicine | 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 | 2013-04-01 |
| 1215294764 | Kay Shaw Thrash | Nurse Practitioner | 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 | 2012-04-20 |
| 1861760951 | Michelle Darlene Tunstill | Licensed Practical Nurse | 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 | 2011-12-05 |
| 1982916706 | Clinton Scott Williams, Md/pc | Family Medicine | 420 Lowell Dr Se, Suite 107, Huntsville, AL 35801-3754 | 2010-07-09 |
| 1891923256 | Keta Kiran Vaidya | Internal Medicine | 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998805 | Madison Core Laboratories, LLC | Clinical Medical Laboratory | 2705 Artie St Sw Ste 25, Huntsville, AL 35805-4762 | 2018-07-16 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| 1720440357 | Alimetrix, Inc. | Clinical Medical Laboratory | 800 Hudson Way Nw, Huntsville, AL 35806 | 2016-03-23 |
| 1043658966 | Individualized Treatment Technologies Laboratories, LLC | Clinical Medical Laboratory | 2705 Artie St Sw, Building 400 Suite 25, Huntsville, AL 35805-4761 | 2013-06-13 |
| 1366720716 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1878 Jeff Rd Nw Ste F, Huntsville, AL 35806-4261 | 2011-08-02 |
| 1891928289 | Applied Genomics, Inc. | Clinical Medical Laboratory | 601 Genome Way Ste 2200, Huntsville, AL 35806-2911 | 2009-09-01 |
| 1134377781 | Diatherix Laboratories LLC | Clinical Medical Laboratory | 601 Genome Way, Suite 2100, Huntsville, AL 35806-2910 | 2008-09-08 |
| 1780873521 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 806 Governors Dr Sw Ste 100, Huntsville, AL 35801-5133 | 2007-10-17 |
| 1770565913 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 301 Governors Dr Sw, Ste 110, Huntsville, AL 35801-5123 | 2005-11-15 |
| 1144223249 | Specialty Nursing Services Inc | Clinical Medical Laboratory | 620 S 9500 E, Huntsville, UT 84317 | 2005-05-23 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on HUNTSVILLE CLINIC LAB LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.