Ivy Creek of Tallapoosa, LLC
Ivy Creek of Tallapoosa, LLC is a Clinical Medical Laboratory in Dadeville, Alabama. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 Mariarden RdDadeville, AL 36853
Phone: (256) 825-7821
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1932783693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ivy Creek of Tallapoosa, LLC |
| Authorized official | Michael Bruce — Ceo · (334) 567-4311 |
| Other names | Reference Lab |
| NPI enumerated | May 10, 2021 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | Po Box 130, Wetumpka, AL 36092-0003 |