Healthcare Provider Details

I. General information

NPI: 1114671401
Provider Name (Legal Business Name): CASSIE MEDICAL TRAINING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305B BATTLE ST E
TALLADEGA AL
35160-2654
US

IV. Provider business mailing address

161 FOREST HILLS CIR
TALLADEGA AL
35160-3355
US

V. Phone/Fax

Practice location:
  • Phone: 256-368-8215
  • Fax:
Mailing address:
  • Phone: 256-368-8215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CASSANDRA LAWSON
Title or Position: OWNER
Credential:
Phone: 256-368-8215