MEDICARE: AME CLINICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053001321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AME CLINICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	731 FREDERICK RD STE B
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4503
Country	:	US
Telephone Number	:	410-719-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 FREDERICK RD STE B
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4503
Country	:	US
Telephone Number	:	410-719-2020
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL/ OWNER
Name	:	IRINA HERBST
Credential	:
Telephone Number	:	410-719-2020

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/10/2023

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Directions to “AME CLINICAL SERVICES LLC ” Practice Location

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