Mentorup Life Lab & Clinic

LBN: Mentorup Life Lab & Clinic
Mentorup Life Lab & Clinic is an health care organization with primary practice located at 535 Jack Warner Pkwy Ne Ste G2 , Tuscaloosa AL 35404-5715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Mentorup Life Lab & Clinic can be contacted via phone (205) 771-2261, or through Johnson, Ellory Kate via phone (205) 771-2261.

Contact Information

Primary practice address
535 Jack Warner Pkwy Ne Ste G2 Tuscaloosa AL 35404-5715
Phone: (205) 771-2261
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Ellory Kate Doctor of Medicine (MD)
Phone: (205) 771-2261

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1063104511
LBN Legal business name Mentorup Life Lab & Clinic
DBA Doing business as
Authorized official Johnson, Ellory Kate Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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