Provider Demographics
NPI:1740794734
Name:ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.
Entity Type:Organization
Organization Name:ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRATOHVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-8760
Mailing Address - Street 1:1223 E SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2315
Mailing Address - Country:US
Mailing Address - Phone:615-550-8774
Mailing Address - Fax:
Practice Address - Street 1:721 OAK CIRCLE DR E STE B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4221
Practice Address - Country:US
Practice Address - Phone:334-284-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier