Provider Demographics
NPI:1497311989
Name:I & B TESTING LLC
Entity Type:Organization
Organization Name:I & B TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:KELVIN
Authorized Official - Last Name:BURCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-424-9199
Mailing Address - Street 1:975 9TH AVE SW STE 507
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7837
Mailing Address - Country:US
Mailing Address - Phone:205-481-7485
Mailing Address - Fax:205-481-7494
Practice Address - Street 1:975 9TH AVE SW STE 507
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7837
Practice Address - Country:US
Practice Address - Phone:205-481-7485
Practice Address - Fax:205-481-7494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty