Organization Active NPI

American Health S, LLC

  • Clinical Medical Laboratory
  • Columbia, MD
National Provider Identifier
1669817474
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1835 Issued in MD
Legal business name
AMERICAN HEALTH S, LLC
Practice address
10270 Old Columbia Rd Ste 600
Columbia, MD 21046-1867
Phone
(410) 423-0939
Fax
(410) 381-0102
NPI assigned
May 7, 2013
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) 919-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1835 MD Primary

Addresses

Primary practice location

10270 Old Columbia Rd Ste 600
Columbia, MD 21046-1867

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
21D2039533OtherMDCLIA ID
1835OtherMDMEDICAL LABORATORY PERMIT
421186300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
American Health Associa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10270 Old Columbia Rd
Ste 600
Columbia, MD 21046
Phone (410) 423-0939

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1669817474",
    "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": "10270 OLD COLUMBIA RD STE 600",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461867",
            "telephone_number": "410-423-0939",
            "fax_number": "410-381-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "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": "954-919-5007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "21D2039533",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LABORATORY PERMIT",
            "identifier": "1835",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421186300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.