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Ivy Creek of Elmore, LLC — NPI 1265027908, Wetumpka, AL | NPI Central

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NPI 1265027908

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Ivy Creek of Elmore, LLC

NPI 1265027908 · Clinical Medical Laboratory · Wetumpka, AL

Provider details

NPI number: 1265027908
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Parent organization: Ivy Creek of Elmore, LLC
Organization subpart: Yes
Authorized official: Michael Bruce, Ceo & Ao(334) 567-4311

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories

Practice location

500 Hospital Dr

Wetumpka, AL 36092-1625

Phone: (334) 567-4311

Fax: (334) 514-3686

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

Po Box 130

Wetumpka, AL 36092-0003

Other names (DBA / former)

Doing business as: Reference Lab

Registry dates

Enumerated: 2021-03-04
Last updated: 2021-06-15
Certified: 2021-06-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.