American Medical Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2057150 Issued in TX

Legal business name

AMERICAN MEDICAL LAB INC

Practice address

755 S 11TH St
Suite 255
Beaumont, TX 77701-3732

Phone

(409) 356-6008

Fax

(409) 833-1909

NPI assigned

Aug 27, 2014

Last updated

Nov 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Simon Itaman

Title

Administrator

Phone

(832) 677-8401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1033519020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST",
            "address_2": "SUITE 255",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013732",
            "telephone_number": "409-356-6008",
            "fax_number": "409-833-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST",
            "address_2": "SUITE 255",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013732",
            "telephone_number": "409-356-6008",
            "fax_number": "409-833-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "ITAMAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-677-8401"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2057150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2057150",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambulatory Strategies Physician Group
• Amcu Health Services
• Amedisys Texas LLC (Amedisys Home Health of Beaumont)
• American Current Care P.a. (Concentra Urgent Care)
• American Hospice Inc. (Girling Hospice TEXAS BY HARDEN HEALTHCARE)
• Karim Amidou Abdul, MD
• Erika Dawn Ammons, OTR
• Michael Amos, LCPO
• Michael Nancy Amsden, M.D.
• Juliana Ama Amuzu-Doe

• Clinical Medical Laboratory in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.