# STV SPORTS MEDICINE & ORTHOPEDICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467818575
- **Authorized official:** LISA WARREN (CEO)
- **Authorized official phone:** (205) 939-3699

## Contact information

- **Practice address:** 805 SAINT VINCENTS DR, STE 100, BIRMINGHAM, AL 35205-1636
- **Practice address phone:** (205) 939-3699
- **Practice address fax:** (205) 484-2585
- **Mailing address:** 805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
- **Mailing address phone:** (205) 939-3699
- **Mailing address fax:** (205) 484-2585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 06/25/2026