Provider Demographics
NPI:1235703232
Name:AMPRION INC
Entity Type:Organization
Organization Name:AMPRION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:858-461-6355
Mailing Address - Street 1:10355 SCIENCE CENTER DR
Mailing Address - Street 2:STE 240
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1158
Mailing Address - Country:US
Mailing Address - Phone:858-461-6338
Mailing Address - Fax:866-770-4905
Practice Address - Street 1:10355 SCIENCE CENTER DR
Practice Address - Street 2:STE 240
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1158
Practice Address - Country:US
Practice Address - Phone:858-461-6338
Practice Address - Fax:866-770-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory