Organization Active NPI

Amplified Sciences, LLC

  • Clinical Medical Laboratory
  • West Lafayette, IN
National Provider Identifier
1083411342
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMPLIFIED SCIENCES, LLC
Practice address
3000 Kent Ave Ste 1950
West Lafayette, IN 47906-1185
Phone
(317) 697-6209
NPI assigned
Feb 25, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Mr. John R Ridge
Title
Commercial and Market Access Lead
Phone
(317) 697-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3000 Kent Ave Ste 1950
West Lafayette, IN 47906-1185

Mailing address

3000 Kent Ave Ste 1950
West Lafayette, IN 47906-1185
Phone (317) 697-6209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260324000636 CA Part B Supplier - Independent Clinical Laboratory 7416431937 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

3000 Kent Ave
Ste 1950
West Lafayette, IN 47906
Phone (317) 697-6209

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1083411342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 KENT AVE STE 1950",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061185",
            "telephone_number": "317-697-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KENT AVE STE 1950",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061185",
            "telephone_number": "317-697-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFIED SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "RIDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMMERCIAL AND MARKET ACCESS LEAD",
        "authorized_official_telephone_number": "317-697-6209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.