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Ivy Creek of Tallapoosa, LLC

Clinical Medical Laboratory in Dadeville, AL · enumerated 2021 · authorized official Michael Bruce, Ceo.

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

National Provider Identifier

1932783693

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Registry record

Entity type Organization (Type 2)
Legal business name Ivy Creek of Tallapoosa, LLC
Other name <Unavail>
Parent organization Ivy Creek of Tallapoosa, LLC
Practice address 201 Mariarden Road, Dadeville, AL, 36853
Phone (256) 825-7821
Enumeration date May 10, 2021
Last updated in NPPES Apr 5, 2022

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Michael Bruce
Title Ceo
Phone (334) 567-4311

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

Who is the authorized official for Ivy Creek of Tallapoosa, LLC?
NPPES lists Michael Bruce (Ceo) as the authorized official for this organization.
What is the NPI number for Ivy Creek of Tallapoosa, LLC?
The NPI for Ivy Creek of Tallapoosa, LLC is 1932783693, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-05.