Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edwards Lake Medical Center LLC

Organization Specialist · NPI 1043321300

Edwards Lake Medical Center LLC provides Specialist services in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3240 Edwards Lake Pkwy Ste 204
Birmingham, AL 35235-3117
Phone: (205) 949-1414
Fax: (205) 949-1415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 00013482 (AL)

Record details

NPI number1043321300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacki Bailey — Billing Mgr · (205) 699-1632
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address3240 Edwards Lake Pkwy, Suite 204, Birmingham, AL 35235-3117

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