Provider Demographics
NPI:1477261030
Name:AMERICAN HEALTH W LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTH W LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-954-5005
Mailing Address - Street 1:2200 LIND AVE SW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3330
Mailing Address - Country:US
Mailing Address - Phone:954-919-5005
Mailing Address - Fax:800-400-6972
Practice Address - Street 1:2200 LIND AVE SW
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3330
Practice Address - Country:US
Practice Address - Phone:954-919-5005
Practice Address - Fax:800-400-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory