IVY CREEK OF TALLAPOOSA, LLC

DADEVILLE, AL
NPI1932783693
Doing Business AsREFERENCE LAB
Entity TypeOrganization
Authorized ContactMICHAEL D BRUCE
CEO
334-567-4311
Organization Subpart ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2021-05-10
Last Update Date2022-04-05
Business Address
IVY CREEK OF TALLAPOOSA, LLC
201 MARIARDEN ROAD
DADEVILLE, AL 36853
Phone number: 256-825-7821
Mailing Address
IVY CREEK OF TALLAPOOSA, LLC
PO BOX 130
WETUMPKA, AL 36092-0003
Phone number: 334-283-2542