Castle Medical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

20141029000010470 Issued in AL

Legal business name

CASTLE MEDICAL, LLC

Practice address

1401 B Providence Park
Suite 1406-1407
Birmingham, AL 35242

Phone

(678) 486-7340

Fax

(205) 408-3357

NPI assigned

Nov 25, 2014

Organization subpart

Yes

Parent organization

CASTLE MEDICAL, LLCAs reported in NPPES

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

Authorized official

Name

Scott Damron

Title

Owner

Phone

(678) 486-7340

Specialties & licenses 1

Addresses

Part of

Castle Medical LLC

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1669879292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HIGHLANDS PKWY SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825142",
            "telephone_number": "678-486-7340",
            "fax_number": "678-486-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 B PROVIDENCE PARK",
            "address_2": "SUITE 1406-1407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "678-486-7340",
            "fax_number": "205-408-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL, LLC",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-486-7340"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "20141029000010470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Casterlin, LCSW
• John B Casterline, MD
• Stephanie A. Casterline, CRNA
• Leah Castille
• Abigayle Marie Castine, MD, MS
• Robert P Castleberry, M.D.
• Tyler Anne Castleman, LICSW
• Valerie Lynn Caston
• Jaime Alberto Castro Nunez, DMD
• Jorge W Castro, MD

• Clinical Medical Laboratory in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.