Ivy Creek of Elmore, LLC
NPI 1265027908 · Clinical Medical Laboratory · Wetumpka, AL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Creek of Elmore, LLC is a Clinical Medical Laboratory organization in Wetumpka, AL (NPI 1265027908).
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
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Reference Lab
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Frequently asked questions
- What is Ivy Creek of Elmore, LLC's NPI number?
- Ivy Creek of Elmore, LLC's National Provider Identifier (NPI) is 1265027908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek of Elmore, LLC?
- Ivy Creek of Elmore, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Ivy Creek of Elmore, LLC located?
- Ivy Creek of Elmore, LLC's practice location on file with NPPES is 500 Hospital Dr, Wetumpka, AL 36092-1625.
- What is Ivy Creek of Elmore, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek of Elmore, LLC is (334) 567-4311.
- Does Ivy Creek of Elmore, LLC accept Medicare?
- Ivy Creek of Elmore, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivy Creek of Elmore, LLC?
- The authorized official listed on Ivy Creek of Elmore, LLC's NPPES record is Michael Bruce, Ceo & Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek of Elmore, LLC's NPI active?
- Yes — Ivy Creek of Elmore, LLC's NPI (1265027908) is active in the NPPES registry as of the last update on 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.