NPI 1043658966

Individualized Treatment Technologies Laboratories, LLC

Organisation Clinical Medical Laboratory Huntsville, AL

Practice location

Address: 2705 Artie St SW Building 400 Suite 25, Huntsville, AL 35805-4761
Phone: (256) 434-5160
Fax: (205) 930-0082
Mailing address: 303 Williams Ave SW Suite 135, Huntsville, AL 35801-6012

Authorised official

Name: Johnny L. Stoddard
Title: President and Ceo
Phone: (256) 714-2105

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence L45100 (AL)

Other Clinical Medical Laboratory providers in Alabama →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence L37174 (AL)

Registry record

NPI: 1043658966
Entity type: Organization
NPI issued: 13 Jun 2013
Record last updated: 5 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.