MEDICARE: AMERICAN HEALTH MW, 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	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	36D0338636	OTHER	OH	CLIA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	26D0440143	OTHER	MO	CLIA
7	36D0346978	OTHER	OH	CLIA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	18D1080513	OTHER	KY	CLIA
10	36D0904468	OTHER	OH	CLIA
11	23D2045786	OTHER	MI	CLIA
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	14D0419196	OTHER	IL	CLIA
15	15D2047655	OTHER	IN	CLIA

General Provider Information

NPI Number	:	1790101681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH MW, LLC

Provider Business Mailing Address
First Line	:	671 OHIO PIKE STE K
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2136
Country	:	US
Telephone Number	:	513-528-8832
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 OHIO PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2117
Country	:	US
Telephone Number	:	800-522-7556
Fax Number	:	877-320-1186

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER MARTIN
Credential	:
Telephone Number	:	954-919-5005

Provider Enumeration Date	:	03/15/2014
Last Update Date	:	04/25/2023

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Directions to “AMERICAN HEALTH MW, LLC ” Practice Location

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