Provider Demographics
NPI:1083411342
Name:AMPLIFIED SCIENCES, INC.
Entity type:Organization
Organization Name:AMPLIFIED SCIENCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMERCIAL AND MARKET ACCESS LEAD
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-697-6209
Mailing Address - Street 1:3000 KENT AVE STE 1950
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1185
Mailing Address - Country:US
Mailing Address - Phone:317-697-6209
Mailing Address - Fax:
Practice Address - Street 1:3000 KENT AVE STE 1950
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1185
Practice Address - Country:US
Practice Address - Phone:317-697-6209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory