American Health S, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMERICAN HEALTH S, LLC

Practice address

15712 SW 41St St
Suite 16-20
Davie, FL 33331-1538

Phone

(954) 919-5005

Fax

(954) 919-5042

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christ Martin

Title

President

Phone

(954) 919-5005

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• American Health Associates Doing business as

Tax ID family

American Health Associa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• American Health S, LLC

  • Clinical Medical Laboratory
  • Marietta, GA
  • NPI 1245725068
  NPD tax ID
• American Health S, LLC

  • Clinical Medical Laboratory
  • Columbia, MD
  • NPI 1669817474
  NPD tax ID

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1053756676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITE 16-20",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311538",
            "telephone_number": "954-919-5005",
            "fax_number": "954-919-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITE 16-20",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311538",
            "telephone_number": "954-919-5005",
            "fax_number": "954-919-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRIST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-919-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "L8597",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABORATORY LICENSE",
            "identifier": "8000001801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064538901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "10D0707800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Davie, FL
• Providers in Davie, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.