Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANSENIO CLARK, MLT
Active Sole ProprietorANSENIO CLARK, MLT is a Clinical Medical Laboratory healthcare provider located in MONTGOMERY, Alabama. NPI 1699517821 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · MONTGOMERY, AL
Registration Details
- NPI Number
- 1699517821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2024 (2.2088968090837 yrs)
- Last Updated
- Jun 10, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1565 E TRINITY BLVDMONTGOMERY, AL, 361062897Browse AL providers · Browse ZIP 36106
- Phone
- 3344404538
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Other Clinical Medical Laboratory Providers in MONTGOMERY, AL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM MICHAEL BRIDGER | — | 1285725614 |
| NADJAH M TATE | — | 1245903038 |
| LAKINYA HARVEY | — | 1295616969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.