OrganizationActive
Individualized Treatment Technologies Laboratories
NPI 1548495575 · Clinical Medical Laboratory · Birmingham, AL
Provider details
- NPI number
- 1548495575
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lee Bruno, Manager(205) 930-0001
- License
- 01D1099109 (AL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1601 12th Ave S
First Floor
Birmingham, AL 35205-4709
Phone: (205) 930-0001
Street-level locationGet directions
Mailing address
4112 Autumn Ln
Birmingham, AL 35243-5208
Other names (DBA / former)
- Doing business as
- Ittlabs
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.