Provider Demographics
NPI:1669817474
Name:AMERICAN HEALTH S, LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTH S, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-919-5007
Mailing Address - Street 1:15712 SW 41ST ST
Mailing Address - Street 2:SUITES 16-20
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1538
Mailing Address - Country:US
Mailing Address - Phone:954-919-5005
Mailing Address - Fax:954-919-5042
Practice Address - Street 1:10270 OLD COLUMBIA RD STE 600
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1867
Practice Address - Country:US
Practice Address - Phone:410-423-0939
Practice Address - Fax:410-381-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1835291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD21D2039533OtherCLIA ID
MD1835OtherMEDICAL LABORATORY PERMIT
MD421186300Medicaid