Healthcare Provider Details

I. General information

NPI: 1649736323
Provider Name (Legal Business Name): ALABAMA INFUSION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 ACTON RD STE 153
VESTAVIA AL
35243-2939
US

IV. Provider business mailing address

2409 ACTON RD STE 153
VESTAVIA AL
35243-2939
US

V. Phone/Fax

Practice location:
  • Phone: 205-386-1100
  • Fax:
Mailing address:
  • Phone: 205-386-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CALLIE TURK
Title or Position: COO
Credential:
Phone: 913-908-9169