Organization Active NPI

Amherst Alliance LLC

Doing business as Amherst Meadows - Laboratory

  • Clinical Medical Laboratory
  • Massillon, OH
National Provider Identifier
1922269703
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D1017106 Issued in OH
Legal business name
AMHERST ALLIANCE LLC
Doing business as
Amherst Meadows - Laboratory
Practice address
1610 1St St NE
Massillon, OH 44646-4044
Phone
(330) 830-8500
NPI assigned
Jun 24, 2008
Organization subpart
Yes
Parent organization
PROGRESSIVE QUALITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Shaul Flank
Title
Chief Operating Officer
Phone
(216) 661-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D1017106 OH Primary

Addresses

Primary practice location

1610 1St St NE
Massillon, OH 44646-4044

Mailing address

1610 1St St NE
Massillon, OH 44646-4044
Phone (330) 830-8500

Other names 1

  • Amherst Meadows - Laboratory Doing business as

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
36D1017106Amherst Meadows1610 1St St NE, Massillon, OH 44646Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amherst Alliance LLC3 organizations share this tax ID, including this one
Part of
Progressive Quality Care Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1922269703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 1ST ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464044",
            "telephone_number": "330-830-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 1ST ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464044",
            "telephone_number": "330-830-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHERST ALLIANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE QUALITY CARE",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FLANK",
        "authorized_official_first_name": "SHAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-661-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D1017106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amherst Meadows - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.