Ambush Lab
NPI 1295671311 · Adolescent Medicine (Family Medicine) Physician · Baltimore, MD
Ambush Lab is a Adolescent Medicine (Family Medicine) Physician organization in Baltimore, MD (NPI 1295671311).
Provider details
- NPI number
- 1295671311
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ambush Pediatrics and Family Medical Clinic
- Organization subpart
- Yes
- Authorized official
- Jacqueline Ambush, Owner(410) 707-5947
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5252 Hollister St Ste 203cHouston, TX 77040-6214Phone: (346) 678-4442Fax: (346) 678-4442
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Ambush Lab's NPI number?
- Ambush Lab's National Provider Identifier (NPI) is 1295671311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ambush Lab?
- Ambush Lab is classified in the NPPES registry as Adolescent Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ambush Lab located?
- Ambush Lab's practice location on file with NPPES is 4367 Hollins Ferry Rd Ste 1c, Baltimore, MD 21227-3400.
- What is Ambush Lab's phone number?
- The practice phone number listed in the NPPES registry for Ambush Lab is (410) 707-5947.
- Who is the authorized official for Ambush Lab?
- The authorized official listed on Ambush Lab's NPPES record is Jacqueline Ambush, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ambush Lab's NPI active?
- Yes — Ambush Lab's NPI (1295671311) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.