# MITT LARY FAMILY PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedExpress, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184812000
- **Authorized official:** DR. MALIKA ARYANPURE M.D. (PHYSICIAN, OWNER)
- **Authorized official phone:** (205) 722-0650

## Contact information

- **Practice address:** 4815 ROSE BLVD, NORTHPORT, AL 35475-5950
- **Practice address phone:** (205) 722-0650
- **Practice address fax:** (205) 345-5178
- **Mailing address:** 4815 ROSE BLVD, NORTHPORT, AL 35475-5950
- **Mailing address phone:** (205) 722-0650
- **Mailing address fax:** (205) 345-5178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | 27529 | AL | — |
| 261QU0200X | Urgent Care Clinic/Center | 27529 | AL | — |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 04/01/2024