PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1063825941

NPI Information

PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a multi-specialty clinic center in Huntsville, AL. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1063825941. The provider is registered as an organization entity type.
The provider Is Doing Business As Industrial Health Services.

The provider's business location address is:

1 COTTONVALLEY DR NW
HUNTSVILLE, AL
ZIP 35810-045
Phone: (256) 746-5111
Fax: (256) 746-5908

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 01D2076769 - other - employer worksite health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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