Provider Demographics
NPI:1811290430
Name:AMH CATH LABS, LLC
Entity type:Organization
Organization Name:AMH CATH LABS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-960-3500
Mailing Address - Street 1:811 WRIGHT STREET
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4708
Mailing Address - Country:US
Mailing Address - Phone:817-960-3500
Mailing Address - Fax:817-960-3589
Practice Address - Street 1:811 WRIGHT STREET
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4708
Practice Address - Country:US
Practice Address - Phone:817-960-3500
Practice Address - Fax:817-960-3589
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS HEALTH HEART AND VASCULAR HOSPITAL ARLINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100073261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical