Ams Medical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D2045157 Issued in MO

Legal business name

AMS MEDICAL LABORATORY INC

Practice address

2900 Lemay Ferry Rd
Suite 205
Saint Louis, MO 63125-3900

Phone

(314) 200-6450

Fax

(314) 200-6451

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Justin A Camillo

Title

Owner

Phone

(314) 200-6450

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1265892830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-200-6450",
            "fax_number": "314-200-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-200-6450",
            "fax_number": "314-200-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "CAMILLO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-200-6450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D2045157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D2045157",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya L. Ampey
• Laura Ampleman, LPC
• Amr Pain & Spine Clinic LLC
• Albert Amran, M.D.
• Ams Medical Laboratory
• Janice M Amsler, ACNP
• Adene S Amsterdam-Balzer, RN
• Timothy Kien Amukele, MD
• Amy Davis LPC, LLC
• Amy G Rauscher Counseling LLC (Amy G Rauscher LPC CRC)

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.