Imc-Pediatric & Adolescent Medicine, Llc
LBN: Imc-Pediatric & Adolescent Medicine, Llc
Imc-Pediatric & Adolescent Medicine, Llc is an health care organization with primary practice located at 4013 Airport Blvd Ste C , Mobile AL 36608-2201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Imc-Pediatric & Adolescent Medicine, Llc can be contacted via phone (251) 435-5437, or through Palazzo, Anthony via phone (251) 435-1361.
Contact Information
Primary practice address
4013 Airport Blvd Ste C
Mobile AL 36608-2201
Phone: (251) 435-5437
Fax: (251) 435-6744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | Alabama |
Profile Details
| NPI number | 1205905361 |
|---|---|
| LBN Legal business name | Imc-Pediatric & Adolescent Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Palazzo, Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jun 26th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205905361 | NPPES |
| Alabama | Other | 51032409 | AL BCBS |
| Alabama | Other | 51032411 | AL BCBS |
| Alabama | Other | 51032413 | AL BCBS |
| Alabama | Other | 51032412 | AL BCBS |
| Alabama | MEDICAID | 529801010 | AL BCBS |
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