Organization Active NPI

Amb Medical LLC

  • Health Service Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1245307362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
AMB MEDICAL LLC
Practice address
10625 W North Ave
Suite 312
Wauwatosa, WI 53226-2315
Phone
(414) 443-9990
Fax
(414) 443-9998
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nasira Begum
Title
Manager
Phone
(414) 443-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

10625 W North Ave
Suite 312
Wauwatosa, WI 53226-2315

Mailing address

10625 W North Ave
Suite 312
Wauwatosa, WI 53226-2315
Phone (414) 443-9990

National Provider Directory

National Provider Directory

Locations

11113 W Forest Home Ave
Ste 100
Franklin, WI 53132

10625 W North Ave
Ste 312
Wauwatosa, WI 53226
Phone (414) 443-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245307362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE",
            "address_2": "SUITE 312",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-443-9990",
            "fax_number": "414-443-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE",
            "address_2": "SUITE 312",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-443-9990",
            "fax_number": "414-443-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMB MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEGUM",
        "authorized_official_first_name": "NASIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-443-9990"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.