INDIVIDUALIZED TREATMENT TECHNOLOGIES LABORATORIES, LLC (NPI# 1043658966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043658966 |
| Entity Type | Organization |
| Organization Name | INDIVIDUALIZED TREATMENT TECHNOLOGIES LABORATORIES, LLC |
| Practice Address |
2705 Artie St Sw Building 400 Suite 25 Huntsville AL 35805-4761 |
| Mailing Address |
303 Williams Ave Sw Suite 135 Huntsville AL 35801-6012 |
| Practice Telephone | 2564345160 |
| Practice Fax Number | 2059300082 |
| Mailing Telephone | 8554366728 |
| Mailing Fax Number | 2564897134 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MR. JOHNNY L. STODDARD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2567142105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | L37174 | AL | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | L45100 | AL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 212246709 | 05 | |
| NJ | 0544256 | 05 | |
| MI | 1043658966 | 05 | |
| IN | 201369650A | 05 | |
| IL | 1043658966 | 05 | |
| SC | L00494 | 05 | |
| MS | 08976741 | 05 | |
| AL | 185597 | 05 | |
| TX | 3578338 | 05 | |
| NM | 82987564 | 05 | |
| AZ | 103155 | 05 | |
| KY | 7100419330 | 05 |
| Street Address |
2705 ARTIE ST SW BUILDING 400 SUITE 25 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750750972 | Addisons Angels | In Home Supportive Care | 2705 Artie St Sw, Bldg 500 Ste 39, Huntsville, AL 35805-4761 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1821028325 | Tracy Glen Bagwell | Chiropractor | 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 | 2006-07-03 |
| Find all providers in zip 35805 | ||||
| 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 |
| 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 |
| 1609422112 | Crestwood Healthcare Lp | Clinical Medical Laboratory | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2019-08-12 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35805 |
Please comment or provide details below to improve the information on INDIVIDUALIZED TREATMENT TECHNOLOGIES LABORATORIES, 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.