METABOLIC MEDICINE NPI 1285096487

NPI Information

NPI: 1285096487
Provider Name: METABOLIC MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5495 S RAINBOW BLVD
SUITE 202
LAS VEGAS, NV
ZIP 89118
Phone: (702) 254-7444
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METABOLIC MEDICINE is a primary care clinic center in Las Vegas, NV. METABOLIC MEDICINE NPI is 1285096487. The provider is registered as an organization entity type.

The provider's business location address is:

5495 S RAINBOW BLVD
SUITE 202
LAS VEGAS, NV
ZIP 89118-871
Phone: (702) 254-7444

The provider's authorized official is Timothy John Sak .
The authorized official title is Dir Of Operations and has the following contact phone number (912) 414-4946.

The enumeration date for this NPI number is 3/26/2016 and was last updated on 10/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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