Active NPI
Walter Rhett Woody III, MT
- Medical Technologist
- Huntsville, AL
National Provider Identifier
1447324108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 12353
- Practice address
- 1428 Weatherly Rd SE
Suite 109
Huntsville, AL 35803-1181 - Phone
- (256) 882-7275
- Fax
- (256) 882-3853
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 12353 | AL | Primary |
Addresses
Primary practice location
1428 Weatherly Rd SE
Suite 109
Huntsville, AL 35803-1181
Mailing address
PO Box 4112
Huntsville, AL 35815-4112
Phone (256) 882-7275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Microphase Clinical Laboratory | Current | Accepting new patients |
Locations
1428 Weatherly Rd SE
Ste 109
Huntsville, AL 35803
Phone (256) 882-7275
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Huntsville, AL
- NPI 1619039047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1447324108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4112",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358154112",
"telephone_number": "256-882-7275",
"fax_number": "256-882-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 WEATHERLY RD SE",
"address_2": "SUITE 109",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358031181",
"telephone_number": "256-882-7275",
"fax_number": "256-882-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "WALTER",
"middle_name": "RHETT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "AL",
"license": "12353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.