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MITT LARY FAMILY PRACTICE, LLC
NPI 1184812000
Family Medicine in Northport, AL

Active since October 04, 2007CLIA 01D1088309 · Waiver
4815 ROSE BLVD, NORTHPORT, AL 35475(205) 722-0650(205) 345-5178 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2024, Dec 30, 2019 (2 updates tracked since 2019).

About Mitt Lary Family Practice, Llc NPPES

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

MITT LARY FAMILY PRACTICE, LLC (NPI 1184812000), doing business as Medexpress, Llc, is a healthcare organization registered as a family medicine in Northport, Alabama and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Malika Aryanpure, Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1184812000
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMITT LARY FAMILY PRACTICE, LLC
Location Address4815 ROSE BLVDNorthport, AL 35475-5950
Mailing Address4815 Rose BlvdNorthport, AL 35475-5950 · (205) 722-0650 · Fax (205) 345-5178
Phone(205) 722-0650
Fax(205) 345-5178
Organization SubpartNo
Authorized OfficialMalika AryanpurePhysician, Owner · (205) 722-0650
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1184812000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 27529 (AL)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 27529 (AL)
4815 ROSE BLVD, Northport, AL 35475
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Other Names 1

Former Legal Business NameMedexpress, Llc

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 01D1088309

Mitt Lary Family Practice · Northport, AL
Active · expires Jun 17, 2028
CLIA Number01D1088309
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorFawad Aryanpure MD
Laboratory Phone(205) 722-0650
Laboratory LocationMitt Lary Family Practice4815 Rose Blvd, Northport, AL 35475
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MALIKA ARYANPURE M.D.
Clinic/Center (Primary Care)
4815 ROSE BLVD
NORTHPORT, AL 35475
Tuscaloosa County (205) 722-0650
JENNIFER CHRISTIN ARMOLT REGISTERED DIETITIAN
Dietitian, Registered
4815 ROSE BLVD
NORTHPORT, AL 35475
Tuscaloosa County (334) 530-9254

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 Mitt Lary Family Practice, LLC's NPI number?

The NPI number for Mitt Lary Family Practice, LLC is 1184812000. It was assigned to this organization in the NPPES registry on October 4, 2007. The provider was formerly known as Medexpress, LLC.

Where is Mitt Lary Family Practice, LLC located?

Mitt Lary Family Practice, LLC is located at 4815 Rose Blvd, Northport, AL 35475. The listed phone number is (205) 722-0650.

What is Mitt Lary Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mitt Lary Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1088309) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mitt Lary Family Practice, LLC was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.