Provider Demographics
NPI:1255840674
Name:L&M SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:L&M SURGERY CENTER, LLC
Other - Org Name:AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:BOLEN
Authorized Official - Suffix:IV
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:205-441-1302
Mailing Address - Street 1:1 INDEPENDENCE PLZ STE 810
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2647
Mailing Address - Country:US
Mailing Address - Phone:205-307-0484
Mailing Address - Fax:205-278-1447
Practice Address - Street 1:1 INDEPENDENCE PLZ STE 810
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2647
Practice Address - Country:US
Practice Address - Phone:205-441-1302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty