Individual provider Active NPI

Muhammad Amjad, PHD

  • Clinical Medical Laboratory
  • Hurricane, WV
National Provider Identifier
1265873608
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
25MS00014100 Issued in NJ
Practice address
2006 Springdale Rd
Hurricane, WV 25526-9344
Phone
(304) 945-9424
Fax
(304) 945-9093
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X DI 43353 FL
Clinical Medical Laboratory 291U00000X AMJAM1 NY
Clinical Medical Laboratory 291U00000X 25MS00014100 NJ Primary

Addresses

Primary practice location

2006 Springdale Rd
Hurricane, WV 25526-9344

Mailing address

2006 Springdale Rd
Hurricane, WV 25526-9344
Phone (304) 945-9424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DI 43353FLMDClinical Medical Laboratory
25MS00014100NJMDClinical Medical Laboratory
AMJAM1NYMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Medtest Laboratories LLC Clinical Medical Laboratory Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1265873608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 SPRINGDALE RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269344",
            "telephone_number": "304-945-9424",
            "fax_number": "304-945-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 SPRINGDALE RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269344",
            "telephone_number": "304-945-9424",
            "fax_number": "304-945-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "MUHAMMAD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "DI 43353",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "AMJAM1",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MS00014100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.