Active NPI
Metabolic Solutions LLC
- Clinical Medical Laboratory
- Nashua, NH
National Provider Identifier
1710985353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 02731
- Legal business name
- METABOLIC SOLUTIONS LLC
- Practice address
- 460 Amherst St
Nashua, NH 03063-1220 - Phone
- (603) 598-6960
- Fax
- (603) 598-6973
- NPI assigned
- Jul 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adnan Fakhoury
- Title
- Ao
- Phone
- (603) 598-6960
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 02731 | NH | Primary |
| Clinical Medical Laboratory | 291U00000X | 30D0970292 | NY |
Addresses
Primary practice location
460 Amherst St
Nashua, NH 03063-1220
Mailing address
460 Amherst St
Nashua, NH 03063-1220
Phone (603) 598-6960
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148922709 | Medicaid | AR | |
| 164498454 | Medicaid | MI | |
| 89450201 | Medicaid | AZ | |
| 2386565 | Medicaid | OH | |
| 151870000 | Medicaid | ME | |
| 30802448 | Medicaid | NH | |
| L00181 | Medicaid | SC | |
| 02517655 | Medicaid | NY | |
| 200454380A | Medicaid | IN | |
| 7001225 | Medicaid | NC | |
| 806879100 | Medicaid | ID | |
| 831608202A | Medicaid | GA | |
| 009931755 | Medicaid | AL | |
| 003119220 | Medicaid | CT | |
| 200050790A | Medicaid | OK | |
| 1164119 | Medicaid | LA | |
| 157047502 | Medicaid | TX | |
| LB460NH | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091214000563 | NH | Part B Supplier - Independent Clinical Laboratory | 7214077700 | Practice locations: Nashua, NH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0970292 | Metabolic Solutions, LLC | Compliance | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1710985353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631220",
"telephone_number": "603-598-6960",
"fax_number": "603-598-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631220",
"telephone_number": "603-598-6960",
"fax_number": "603-598-6973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METABOLIC SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "FAKHOURY",
"authorized_official_first_name": "ADNAN",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "603-598-6960"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NH",
"license": "02731",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "30D0970292",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148922709",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164498454",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89450201",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2386565",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151870000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30802448",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L00181",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02517655",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200454380A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001225",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806879100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831608202A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009931755",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003119220",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200050790A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164119",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157047502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LB460NH",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.