Amprion Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMPRION INC

Practice address

10355 Science Center Dr
Ste 240
San Diego, CA 92121-1158

Phone

(858) 461-6338

Fax

(866) 770-4905

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Russell Lebovitz, MD, PHD

Title

Chief Executive Officer

Phone

(858) 461-6355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1235703232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 SCIENCE CENTER DR",
            "address_2": "STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211158",
            "telephone_number": "858-461-6338",
            "fax_number": "866-770-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 SCIENCE CENTER DR",
            "address_2": "STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211158",
            "telephone_number": "858-461-6338",
            "fax_number": "866-770-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPRION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "LEBOVITZ",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "858-461-6355",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.