MITT LARY FAMILY PRACTICE, LLC
NPI 1184812000
Family Medicine in Northport, AL
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
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mitt Lary Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mitt Lary Family Practice, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ALFrequently 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.
Is Mitt Lary Family Practice, LLC enrolled in Medicare?
Yes. Mitt Lary Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mitt Lary Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mitt Lary Family Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Mitt Lary Family Practice, Llc · NPI 1184812000
Family Medicine organization in Northport, Alabama. Organization record, active in the CMS NPPES registry since October 4, 2007.
## Identity
- **NPI:** 1184812000 (Entity type: Organization)
- **Enumerated:** October 4, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Malika Aryanpure, PHYSICIAN, OWNER
## Practice location
- **Address:** 4815 ROSE BLVD, Northport, AL 35475-5950
- **Phone:** (205) 722-0650 · **Fax:** (205) 345-5178
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184812000) · Data from the CMS NPPES public registry.