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Organization

AMERICAN HEALTH S, LLC

Active
Other names
American Health Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIST MARTIN (PRESIDENT)
(954) 919-5005
Entity
Organization

Contact information

Practice address
15712 SW 41ST ST, SUITE 16-20, DAVIE, FL 33331-1538
(954) 919-5005
(954) 919-5042
Mailing address
15712 SW 41ST ST, SUITE 16-20, DAVIE, FL 33331-1538
(954) 919-5005
(954) 919-5042

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064538901
FL
01
10D0707800
CLIA CERTIFICATE
FL
01
8000001801
STATE LABORATORY LICENSE
FL
01
L8597
MEDICARE PTAN
FL
Enumeration date
05/09/2013
Last updated
04/25/2023
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