L&M Surgery Center, LLC

Key facts

NPI

1255840674

Entity type

Organization (NPI type 2)

Primary specialty

Reproductive Endocrinology Physician 207VE0102X

Legal business name

L&M SURGERY CENTER, LLC

Practice address

1 Independence PLZ Ste 810
Birmingham, AL 35209-2647

Phone

(205) 441-1302

NPI assigned

Sep 28, 2017

Organization subpart

Yes

Parent organization (as reported)

AMERICAN INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA LLC

Authorized official

Name

Joseph B Bolen IV, ADMINISTRATOR

Title

Chief Operating Officer

Phone

(205) 441-1302

National Provider Directory

Part of

America Institute of Reproductive Medicine - Alabama LLC

Locations

Specialties & licenses

Addresses

Other names

• America Institute of Reproductive Medicine - Alabama Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255840674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 810",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092647",
            "telephone_number": "205-307-0484",
            "fax_number": "205-278-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 810",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092647",
            "telephone_number": "205-441-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Brookwood Medical Ctr Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096823",
            "country_code": "US",
            "telephone_number": "205-307-0484",
            "fax_number": "205-278-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L&M SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA LLC",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "205-441-1302",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "America Institute of Reproductive Medicine - Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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