Provider Demographics
NPI:1437704459
Name:FT BUYER, LLC
Entity Type:Organization
Organization Name:FT BUYER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-539-1194
Mailing Address - Street 1:1105 SOUTHVIEW LN # 103-140
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-6390
Mailing Address - Country:US
Mailing Address - Phone:404-941-0771
Mailing Address - Fax:
Practice Address - Street 1:2825 MILLER RANCH RD STE 221
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9714
Practice Address - Country:US
Practice Address - Phone:404-941-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory