Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambush Lab

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1295671311

Ambush Lab is an Adolescent Medicine (Family Medicine) Physician in Baltimore, Maryland. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4367 Hollins Ferry Rd Ste 1C
Baltimore, MD 21227-3400
Phone: (410) 707-5947
Fax: (410) 707-5947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5252 Hollister St Ste 203c, Houston, TX 77040-6214 — (346) 678-4442

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0000X

Record details

NPI number1295671311
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAmbush Pediatrics and Family Medical Clinic
Authorized official Jacqueline Ambush — Owner · (410) 707-5947
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address4367 Hollins Ferry Rd Ste 1c, Baltimore, MD 21227-3400

Other providers in Baltimore