Provider Demographics
NPI:1437355450
Name:CONCEPT MEDICAL TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:CONCEPT MEDICAL TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:WILLOUGHBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-1100
Mailing Address - Street 1:2318 SAINT JOSEPH RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2247
Mailing Address - Country:US
Mailing Address - Phone:205-970-1100
Mailing Address - Fax:205-970-1101
Practice Address - Street 1:2318 SAINT JOSEPH RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2247
Practice Address - Country:US
Practice Address - Phone:205-970-1100
Practice Address - Fax:205-970-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment