National Provider Identifier Database

ADVANCED METABOLIC TESTING LLC
Health Service


Contact Information

ADVANCED METABOLIC TESTING LLC
1425 S GREENFIELD RD STE 101
MESA, AZ85206-5505
Phone: 480-981-3000
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for ADVANCED METABOLIC TESTING LLC

NPI Number 1700398682
Legal business name
LBN
ADVANCED METABOLIC TESTING LLC
Authorized official ANNA SPARKS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 1578088506

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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