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Individualized Treatment Technologies Laboratories, LLC

Clinical Medical Laboratory in Huntsville, AL · enumerated 2013 · authorized official Johnny Stoddard, President and Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043658966

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Registry record

Entity type Organization (Type 2)
Legal business name Individualized Treatment Technologies Laboratories, LLC
Practice address 2705 Artie St Sw, Building 400 Suite 25, Huntsville, AL, 35805
Fax (205) 930-0082
Enumeration date Jun 13, 2013
Last updated in NPPES Apr 5, 2017

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License L37174 (AL) Secondary
291U00000X Clinical Medical Laboratory Laboratories · License L45100 (AL) Primary

Authorized official

Name Johnny Stoddard
Title President and Ceo

Other identifiers

Identifier Type State Issuer
0544256 Medicaid NJ -
08976741 Medicaid MS -
1043658966 Medicaid MI -
3578338 Medicaid TX -
82987564 Medicaid NM -
103155 Medicaid AZ -
185597 Medicaid AL -
201369650A Medicaid IN -
212246709 Medicaid AR -
L00494 Medicaid SC -
1043658966 Medicaid IL -
7100419330 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Individualized Treatment Technologies Laboratories, LLC?
The NPI for Individualized Treatment Technologies Laboratories, LLC is 1043658966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Individualized Treatment Technologies Laboratories, LLC?
NPPES lists Johnny Stoddard (President and Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-05.