METABOLIC RESTORATION LLC NPI 1457000192

NPI Information

NPI: 1457000192
Provider Name: METABOLIC RESTORATION LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 29D2265968

Address:
8879 W FLAMINGO RD STE 102
LAS VEGAS, NV
ZIP 89147
Phone: (702) 646-1150
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METABOLIC RESTORATION LLC is a primary care clinic center in Las Vegas, NV. METABOLIC RESTORATION LLC NPI is 1457000192. The provider is registered as an organization entity type.

The provider's business location address is:

8879 W FLAMINGO RD STE 102
LAS VEGAS, NV
ZIP 89147-732
Phone: (702) 646-1150
Fax: (702) 646-1152

The provider's authorized official is Han Nan Paige Chong .
The authorized official title is Officer and has the following contact phone number (563) 340-8729.

The CLIA number assigned to this NPI record is 29D2265968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2022 and was last updated on 3/21/2022.

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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