Provider Demographics
NPI:1144044033
Name:INFINITY DIAGNOSTICS SERVICES
Entity type:Organization
Organization Name:INFINITY DIAGNOSTICS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAZITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:205-436-2018
Mailing Address - Street 1:6283 PARK SOUTH DR STE 114
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5682
Mailing Address - Country:US
Mailing Address - Phone:205-436-2018
Mailing Address - Fax:205-565-7055
Practice Address - Street 1:6283 PARK SOUTH DR STE 114
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5682
Practice Address - Country:US
Practice Address - Phone:205-436-2018
Practice Address - Fax:205-565-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty