NPIMap

Organization Active NPI

Internal Medicine Lab.

  • Clinical Medical Laboratory
  • Opelika, AL
National Provider Identifier
1861558041
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTERNAL MEDICINE LAB.
Practice address
121 N 20TH St Ste 6
Opelika, AL 36801-5454
Phone
(334) 749-3385
Fax
(334) 745-7672
NPI assigned
Dec 29, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERNAL MED ASSOCIATE P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. James K Royal, M.D.NPI 1790872174
Title
Lab Director
Phone
(334) 749-3385

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

Specialties & licenses 1

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

Addresses

Primary practice location

121 N 20TH St Ste 6
Opelika, AL 36801-5454

Mailing address

PO Box 2527
Opelika, AL 36803-2527
Phone (334) 749-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000091 AL Part B Supplier - Clinic/Group Practice 0941251607 Receives reassigned benefits from 64 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Opelika, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Beth Ann Mitchell

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1861558041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2527",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368032527",
            "telephone_number": "334-749-3385",
            "fax_number": "334-745-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 6",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015454",
            "telephone_number": "334-749-3385",
            "fax_number": "334-745-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE LAB.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MED ASSOCIATE P C",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "334-749-3385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.