ADVANCED METABOLIC TESTING LLC; NPI #1700398682

Contact Information

ADVANCED METABOLIC TESTING LLC

1425 S GREENFIELD RD STE 101
MESA, AZ 85206-5505

Phone: 480-981-3000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for ADVANCED METABOLIC TESTING LLC

NPI # 1700398682

LBN Legal business name ADVANCED METABOLIC TESTING LLC

Authorized official ANNA SPARKS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/31/2017

Last updated 03/17/2018 - About 8 years ago

Identifiers

Medicaid

1578088506

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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