Ammon Analytical Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00042568 Issued in NJ

Legal business name

AMMON ANALYTICAL LABORATORIES LLC

Practice address

35 E Blancke St
Linden, NJ 07036

Phone

(908) 862-4404

Fax

(908) 583-9997

NPI assigned

Dec 21, 2006

Last updated

Dec 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Ammon Haupt

Title

Ceo

Phone

(908) 862-4404

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Ammon Analytical Laboratories LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ammon Analytical Laboratories LLC

  • Clinical Medical Laboratory
  • Webster, MA
  • NPI 1346750494
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Gambardella, PHD

  • Clinical Pathology Physician
  • Linden, NJ
  • NPI 1073025839
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1447314513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E BLANCKE ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "07036",
            "telephone_number": "908-862-4404",
            "fax_number": "908-583-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E BLANCKE ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "07036",
            "telephone_number": "908-862-4404",
            "fax_number": "908-583-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMON ANALYTICAL LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "AMMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-862-4404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00042568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7868707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Linden, NJ
• Providers in Linden, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.