OrganizationActive
Individualized Treatment Technologies Laboratories, LLC
NPI 1043658966 · Clinical Medical Laboratory · Huntsville, AL
Provider details
- NPI number
- 1043658966
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Johnny Stoddard, President and Ceo(256) 714-2105
- License
- L37174 (AL)
Specialties & taxonomies
Laboratories
Laboratories
Practice location
2705 Artie St Sw
Building 400 Suite 25
Huntsville, AL 35805-4761
Phone: (256) 434-5160
Fax: (205) 930-0082
Approximate (ZIP-level) locationGet directions
Mailing address
303 Williams Ave Sw
Huntsville, AL 35801-6012
Registry dates
- Enumerated
- 2013-06-13
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.