Advanced Metabolic Testing LLC
Organization Active NPI Health Service Clinic/Center · Mesa, AZ
NPI 1700398682 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1700398682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- ADVANCED METABOLIC TESTING LLC
- Practice address
- 1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505 - Phone
- (480) 981-3000
- NPI assigned
- Oct 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Anna Sparks
- Title
- Owner
- Phone
- (480) 296-3621
National Provider Directory
Locations
4802 E Ray Rd
#23231
Phoenix, AZ 85044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Mailing address
4802 E Ray Rd # 23-231
Phoenix, AZ 85044-6405
Other practice location 1
3514 N Power Rd Ste 105
Mesa, AZ 85215-2907
Phone (480) 685-8007
Other practice location 2
7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007
Phone (480) 699-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578088506 | Medicaid | AZ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.