Provider Demographics
NPI:1790101681
Name:AMERICAN HEALTH MW, LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTH MW, LLC
Other - Org Name:AMERICAN HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-919-5005
Mailing Address - Street 1:671 OHIO PIKE STE K
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2136
Mailing Address - Country:US
Mailing Address - Phone:513-528-8832
Mailing Address - Fax:
Practice Address - Street 1:665 OHIO PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2117
Practice Address - Country:US
Practice Address - Phone:800-522-7556
Practice Address - Fax:877-320-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-15
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032642840001Medicaid
MI1790101681Medicaid
IN201272540AMedicaid
OH36D0338636OtherCLIA
IA1790101681Medicaid
MO26D0440143OtherCLIA
OH36D0346978OtherCLIA
OH0108856Medicaid
KY18D1080513OtherCLIA
OH36D0904468OtherCLIA
MI23D2045786OtherCLIA
MO1790101681Medicaid
KY7100367060Medicaid
IL14D0419196OtherCLIA
IN15D2047655OtherCLIA