Organization
INDIVIDUALIZED TREATMENT TECHNOLOGIES LABORATORIES
Active
Other names
ITTLabs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE BRUNO (MANAGER)
(205) 930-0001
Entity
Organization
Contact information
Practice address
1601 12TH AVE S, FIRST FLOOR, BIRMINGHAM, AL 35205-4709
(205) 930-0001
Mailing address
4112 AUTUMN LN, BIRMINGHAM, AL 35243-5208
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
01D1099109
AL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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