Alabama Developmental and Diagnostic Clinic LLC

Organization Active NPI Medical Specialty Clinic/Center · Madison, AL

NPI 1346946308 · NPPES record last updated Feb 1, 2023

Key facts

NPI
1346946308
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
Legal business name
ALABAMA DEVELOPMENTAL AND DIAGNOSTIC CLINIC LLC
Practice address
105 Appleton LN
Madison, AL 35756-4162
Phone
(563) 424-0459
NPI assigned
Feb 1, 2023
Organization subpart
No

Authorized official

Name
Dr. Marc A Hultquist, DO NPI 1063595593
Title
Owner
Phone
(563) 424-0459

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Yes

Addresses

Primary practice location

105 Appleton LN
Madison, AL 35756-4162

Mailing address

105 Appleton LN
Madison, AL 35756-4162

Other practice location 1

3000 Johnson Rd SW
Huntsville, AL 35805-5847
Phone (256) 650-1700

Other providers in Madison, AL

All providers in Madison, AL · Medical Specialty Clinic/Center in Alabama

Sources for this page

Verify at the official NPI Registry.