LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC NPI 1003004284

Internal Medicine in Birmingham, AL

Organization Internal Medicine CLIA Number 01D1072316 CLIA Certificate of Waiver

About LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC

Lifestyle Management Of Birmingham, Inc is an internal medicine provider established in Birmingham, Alabama specializing in internal medicine. The NPI number of Lifestyle Management Of Birmingham, Inc is 1003004284 and was assigned on October 2007. The practitioner's primary taxonomy code is 207R00000X with license number 8362 (AL). The provider is registered as an organization and their NPI record was last updated 6 years ago. Lifestyle Management Of Birmingham, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

An internist like Lifestyle Management Of Birmingham, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc. The authorized official of this NPI record is Mrs. Brittany D Limbaugh Rn,bsn (Practice Manager)

The CLIA number of Lifestyle Management Of Birmingham, Inc is 01D1072316 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Lifestyle Management Of Birmingham, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003004284

Provider NameLIFESTYLE MANAGEMENT OF BIRMINGHAM, INC
Provider Location Address10 OLD MONTGOMERY HWY SUITE 100 BIRMINGHAM, AL 35209
Provider Mailing Address10 OLD MONTGOMERY HWY SUITE 100 BIRMINGHAM, AL 35209
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-12-2007
Last Update Date05-29-2014

Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.8362
License StateAL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC
10 OLD MONTGOMERY HWY
SUITE 100
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 949-1900
Fax: (205) 949-1919

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Mailing Address

LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC
10 OLD MONTGOMERY HWY
SUITE 100
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 949-1900
Fax: (205) 949-1919

Authorized Official

Authorized Official NameMRS. BRITTANY D LIMBAUGH RN,BSN
Authorized Official TitlePRACTICE MANAGER
Authorized Official Phone(205) 949-1912

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003004284 is:

CLIA Number01D1072316
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154829257MS. VALERIE MEGAN GOODWIN PA
Individual
Physician Assistant10 OLD MONTGOMERY HWY
BIRMINGHAM, AL 35209
(205) 949-1900
1790024073MS. KELSEY WESTERMAN NOLAN PA-C
Individual
Physician Assistant10 OLD MONTGOMERY HWY SUITE 100
BIRMINGHAM, AL 35209
(205) 949-1900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.