Organization
AMERICAN HEALTH S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MARTIN (PRESIDENT)
(954) 919-5007
Entity
Organization
Contact information
Practice address
10270 OLD COLUMBIA RD STE 600, COLUMBIA, MD 21046-1867
(410) 423-0939
(410) 381-0102
Mailing address
15712 SW 41ST ST, SUITES 16-20, DAVIE, FL 33331-1538
(954) 919-5005
(954) 919-5042
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1835
MEDICAL LABORATORY PERMIT
MD
01
—
21D2039533
CLIA ID
MD
05
—
421186300
—
MD
Enumeration date
05/07/2013
Last updated
04/25/2023
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