Active NPI
Muhammad Amjad, PHD
- Clinical Medical Laboratory
- Hurricane, WV
National Provider Identifier
1265873608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 25MS00014100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DI 43353 | FL | MD | Clinical Medical Laboratory |
| 25MS00014100 | NJ | MD | Clinical Medical Laboratory |
| AMJAM1 | NY | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Medical Laboratory
- Hurricane, WV
- NPI 1821471319
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
- Jamie Michelle Allman, LMT
- Jennifer Cox Allman, MA, CCC-SLP
- Almost Heaven in Home Care LLC
- Andrew Derek Altizer, DOT
- Ambulatory Neurological Services, LLC
- Elysha Marie Anderson
- Mikella Anderson, OTR/L
- Appalachian Community Disability Center
- Appalachian Family Medicine
- Appalachian Family Medicine Lab
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.