Organization Active NPI

American Health S, LLC

  • Clinical Medical Laboratory
  • Davie, FL
National Provider Identifier
1295823540
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800001801 Issued in FL
Legal business name
AMERICAN HEALTH S, LLC
Practice address
15712 SW 41St St
Suites 16-20
Davie, FL 33331-1538
Phone
(954) 919-5005
Fax
(954) 919-5042
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mr. Chris Martin
Title
President
Phone
(954) 919-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800001801 FL Primary
Clinical Medical Laboratory 291U00000X 80021538 FL

Addresses

Primary practice location

15712 SW 41St St
Suites 16-20
Davie, FL 33331-1538

Mailing address

15712 SW 41St St
Suites 16-20
Davie, FL 33331-1538
Phone (954) 919-5005

Other practice location 1

1070 Asheville Hwy
Spartanburg, SC 29303-2635
Phone (954) 919-5005

Other practice location 2

5380 Hickory Hollow Pkwy
Antioch, TN 37013-3117
Phone (954) 919-5005

Other practice location 3

3728 Philips Hwy Ste 218
Jacksonville, FL 32207-6880
Phone (954) 919-9005

Other practice location 4

2130 Northwest Pkwy SE
Marietta, GA 30067-9307
Phone (954) 919-5005

Other practice location 5

7175 66th St N
Pinellas Park, FL 33781-4004
Phone (954) 919-9005

Other practice location 6

10270 Old Columbia Rd Ste 600
Columbia, MD 21046-1867
Phone (954) 919-5005

Other identifiers 21

IdentifierTypeStateIssuer
103G69575OtherTNMEDICARE PTAN
L00227MedicaidSC
064538901MedicaidFL
1835OtherMDMARYLAND STATE LICENSE
Q347240001OtherSCMEDICARE PTAN
21D2039533OtherMDMARYLAND CLIA
240453OtherMDMARYLAND PTAN
10D2217743OtherFLCLIA JACKSONVILLE FLORIDA
1521799MedicaidTN
190002129OtherVAMEDICARE PTAN
800001801OtherFLDAVIE, FL. STATE LICENSE NUMBER
10D0707800OtherFLCLIA ID NUMBER- DAVIE, FL
10D1504277OtherFLCLIA NO- PINELLAS PARL
44D2009082OtherTNCLIA
800021538OtherFLSTATE LAB LICENSE, PINELL
0000004191OtherTNLABORATORY LICENSE NUMBER
1295823540MedicaidVA
1669817474OtherMDMARYLAND MEDICAID NPI
42118MedicaidMD
42D1080642OtherSCCLIA
49D1100758OtherVACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, TN, MD, GA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20071213000388 FL Part B Supplier - Independent Clinical Laboratory 2668562711 Practice locations: Davie, FL; Jacksonville,, FL; Pinellas Park,, FL
O20080326000063 SC Part B Supplier - Independent Clinical Laboratory 2668562711 Practice locations: Spartanburg, SC
O20101021000451 TN Part B Supplier - Independent Clinical Laboratory 2668562711 Practice locations: Antioch, TN
O20120612000008 MD Part B Supplier - Independent Clinical Laboratory 2668562711 Practice locations: Columbia, MD
O20170221001955 GA Part B Supplier - Independent Clinical Laboratory 2668562711 Practice locations: Marietta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1054277American Health S, LLC7175 66TH St N, Pinellas Park, FL 33781ComplianceJul 31, 2026
42D1080642American Health Associates, Inc1070 Asheville Highway, Spartanburg, SC 29303ComplianceJul 31, 2026
44D2009082American Health S, LLC5380 Hickory Hollow Parkway, Suite 120, Antioch, TN 37013ComplianceJan 4, 2027

National Provider Directory

National Provider Directory

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

15712 SW 41st St
Davie, FL 33331

2831 Corporate Way
Miramar, FL 33025

7179 66th St N
Pinellas Park, FL 33781
Phone (954) 919-5007

7175 66th St N
Pinellas Park, FL 33781
Phone (727) 369-0346

7660 66th St N
Pinellas Park, FL 33781
Phone (727) 541-6588

2130 Northwest Pkwy SE
Ste F
Marietta, GA 30067
Phone (770) 767-6320

2130 Northwest Pkwy SE
Marietta, GA 30067

10290 Old Columbia Rd
Ste 302
Columbia, MD 21046
Phone (410) 423-6939

1070 Asheville Hwy
Spartanburg, SC 29303
Phone (855) 855-2228

5380 Hickory Hollow Pkwy
Ste 120
Antioch, TN 37013
Phone (615) 255-7779

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1295823540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITES 16-20",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311538",
            "telephone_number": "954-919-5005",
            "fax_number": "954-919-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15712 SW 41ST ST",
            "address_2": "SUITES 16-20",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311538",
            "telephone_number": "954-919-5005",
            "fax_number": "954-919-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032635",
            "country_code": "US",
            "telephone_number": "954-919-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5380 Hickory Hollow Pkwy",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370133117",
            "country_code": "US",
            "telephone_number": "954-919-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3728 Philips Hwy Ste 218",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322076880",
            "country_code": "US",
            "telephone_number": "954-919-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Northwest Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300679307",
            "country_code": "US",
            "telephone_number": "954-919-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7175 66th St N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337814004",
            "country_code": "US",
            "telephone_number": "954-919-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10270 Old Columbia Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461867",
            "country_code": "US",
            "telephone_number": "954-919-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN HEALTH S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-919-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800001801",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "80021538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G69575",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00227",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064538901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "1835",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q347240001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND CLIA",
            "identifier": "21D2039533",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PTAN",
            "identifier": "240453",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA JACKSONVILLE FLORIDA",
            "identifier": "10D2217743",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521799",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "190002129",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIE, FL. STATE LICENSE NUMBER",
            "identifier": "800001801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER- DAVIE, FL",
            "identifier": "10D0707800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NO- PINELLAS PARL",
            "identifier": "10D1504277",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "44D2009082",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LAB LICENSE, PINELL",
            "identifier": "800021538",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY LICENSE NUMBER",
            "identifier": "0000004191",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295823540",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAID NPI",
            "identifier": "1669817474",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42118",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "42D1080642",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "49D1100758",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.