Provider Demographics
NPI:1174209233
Name:ALH PRE-ADMIT TESTING CLINIC
Entity type:Organization
Organization Name:ALH PRE-ADMIT TESTING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHYSICIAN NETWORK
Authorized Official - Prefix:
Authorized Official - First Name:SEBRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-216-9648
Mailing Address - Street 1:22454 HWY 72
Mailing Address - Street 2:STE 340
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613
Mailing Address - Country:US
Mailing Address - Phone:256-262-2132
Mailing Address - Fax:256-262-2135
Practice Address - Street 1:22454 HWY 72
Practice Address - Street 2:STE 340
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35613
Practice Address - Country:US
Practice Address - Phone:256-262-2132
Practice Address - Fax:256-262-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty