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MONTGOMERY CANCER CENTER LLC
NPI 1144422890
Durable Medical Equipment & Medical Supplies in Prattville, AL

Active since June 04, 2007CLIA Certified · 2 labs
645 MCQUEEN SMITH RD N, SUITE 109, PRATTVILLE, AL 36066(334) 351-1000(334) 358-1207 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Montgomery Cancer Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY CANCER CENTER LLC (NPI 1144422890) is a healthcare organization registered as a durable medical equipment & medical supplies in Prattville, Alabama and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Venty Butts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144422890
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMONTGOMERY CANCER CENTER LLC
Location Address645 MCQUEEN SMITH RD N, SUITE 109Prattville, AL 36066-7268
Mailing Address4145 Carmichael RdMontgomery, AL 36106-2803 · (334) 273-7000 · Fax (334) 273-2386
Phone(334) 351-1000
Fax(334) 358-1207
Organization SubpartNo
Authorized OfficialVenty ButtsAdministrator · (334) 273-7000
Enumeration DateJune 4, 2007
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1144422890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in AL · 2007001584
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
645 MCQUEEN SMITH RD N, Prattville, AL 36066
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Other Identifiers 1

Medicare NSC4248810003

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0669034

Montgomery Cancer Center · Montgomery, AL
Active · expires Dec 22, 2027
CLIA Number01D0669034
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Samuel G. Borak
Laboratory Phone(334) 273-2377
Laboratory LocationMontgomery Cancer Center4145 Carmichael Road, Montgomery, AL 36106
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 01D1055600

Montgomery Cancer Center - Prattville · Prattville, AL
Active · expires Dec 10, 2026
CLIA Number01D1055600
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDr. Samuel G. Borak
Laboratory Phone(334) 351-1004
Laboratory LocationMontgomery Cancer Center - Prattville645 Mcqueen Smith Road Suite 207, Prattville, AL 36066
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCIUS BEDFORD FREEMAN MD
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 105
PRATTVILLE, AL 36066
Autauga County (334) 361-7656
HEALING TOUCH FAMILY CARE, LLC
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 300
PRATTVILLE, AL 36066
Autauga County (334) 361-2121
DR. JAMES ROBERT CARPENTER M.D.
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 101
PRATTVILLE, AL 36066
Autauga County (334) 365-5987
MEDICAL CARE ASSOCIATES
Specialist
645 MCQUEEN SMITH RD N, SUITE302
PRATTVILLE, AL 36066
Autauga County (334) 361-7404
DR. MARILYN JOY HEPPERLE M.D, FRCP
Specialist
645 MCQUEEN SMITH RD N, SUIT 302
PRATTVILLE, AL 36066
Autauga County (334) 361-7404
TIMOTHY M MEADOWS OD
Optometrist
645 MCQUEEN SMITH RD N
PRATTVILLE, AL 36066
Autauga County (334) 481-2800
PRESCRIPTION EYEWEAR, INC.
Eyewear Supplier
645 MCQUEEN SMITH RD N, SUITE 109
PRATTVILLE, AL 36066
Autauga County (334) 365-9911
MR. PARHAM MORA M.D.
Surgery
645 MCQUEEN SMITH RD N, SUITE 205
PRATTVILLE, AL 36066
Autauga County (334) 361-6126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery Cancer Center LLC's NPI number?

The NPI number for Montgomery Cancer Center LLC is 1144422890. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Montgomery Cancer Center LLC located?

Montgomery Cancer Center LLC is located at 645 Mcqueen Smith Rd N Suite 109, Prattville, AL 36066. The listed phone number is (334) 351-1000.

What is Montgomery Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Montgomery Cancer Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Montgomery Cancer Center LLC was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.