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MITT LARY FAMILY PRACTICE LLC NPI 1184812000


NPI Information

NPI: 1184812000
Provider Name: MITT LARY FAMILY PRACTICE, LLC

Former Legal Business Name: MEDEXPRESS, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D1088309

Address:
4815 ROSE BLVD
NORTHPORT, AL
ZIP 35475
Phone: (205) 722-0650
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MITT LARY FAMILY PRACTICE, LLC is a family medicine in Northport, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MITT LARY FAMILY PRACTICE, LLC NPI is 1184812000. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Medexpress, Llc.

The provider's business location address is:

4815 ROSE BLVD
NORTHPORT, AL
ZIP 35475-950
Phone: (205) 722-0650
Fax: (205) 345-5178

The provider's authorized official is Malika Aryanpure .
The authorized official title is PHYSICIAN, OWNEROwner and has the following contact phone number (205) 722-0650.

The CLIA number assigned to this NPI record is 01D1088309 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 4/1/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2261QP2300XClinic/CenterPrimary Care27529ALABAMANo
3261QU0200XClinic/CenterUrgent Care27529ALABAMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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