PRESTIGE MEDICAL LLC NPI 1629452123

NPI Information

  • NPI: 1629452123
  • Provider Name: PRESTIGE MEDICAL LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 01D2111785
  • Address: 857 DOWNTOWNER BLVD STE G
    MOBILE, AL
    ZIP 36609
  • Phone: (251) 341-7295

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NPI Details

PRESTIGE MEDICAL LLC is a multi-specialty clinic center in Mobile, AL. PRESTIGE MEDICAL LLC NPI is 1629452123. The provider is registered as an organization entity type.

The provider's business location address is:

857 DOWNTOWNER BLVD STE G
MOBILE, AL
ZIP 36609-420
Phone: (251) 341-7295
Fax: (251) 341-7690

The provider's authorized official is Brian Norris .
The authorized official title is Owner and has the following contact phone number (251) 341-7295.

The CLIA number assigned to this NPI record is 01D2111785 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 9/9/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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