NPIMap

Organization Active NPI

Qumar Healthcare Services, LLC

  • Clinical Medical Laboratory
  • Montgomery, AL
National Provider Identifier
1033577168
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
5000-663 Issued in AL
Legal business name
QUMAR HEALTHCARE SERVICES, LLC
Practice address
445 Dexter Ave
Suite 4050
Montgomery, AL 36104-3775
Phone
(334) 557-7021
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcy E Anderson
Title
Owner and Ceo/Phlebotomy Technician
Phone
(317) 938-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 5000-663 AL Primary

Addresses

Primary practice location

445 Dexter Ave
Suite 4050
Montgomery, AL 36104-3775

Mailing address

445 Dexter Ave
Suite 4050
Montgomery, AL 36104-3775
Phone (334) 557-7021

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1033577168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 DEXTER AVE",
            "address_2": "SUITE 4050",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043775",
            "telephone_number": "334-557-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DEXTER AVE",
            "address_2": "SUITE 4050",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043775",
            "telephone_number": "334-557-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUMAR HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER AND CEO/PHLEBOTOMY TECHNICIAN",
        "authorized_official_telephone_number": "317-938-2535"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "5000-663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.