Provider Demographics
NPI: | 1497451124 |
---|---|
Name: | ADVANCED METABOLIC SOLUTIONS, LLC |
Entity Type: | Organization |
Organization Name: | ADVANCED METABOLIC SOLUTIONS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATIVE PARTNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | MATTHEW |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LINGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 318-200-0308 |
Mailing Address - Street 1: | 1707 METRO DR STE K |
Mailing Address - Street 2: | |
Mailing Address - City: | ALEXANDRIA |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 71301-3380 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 318-200-0308 |
Mailing Address - Fax: | 318-740-2023 |
Practice Address - Street 1: | 1707 METRO DR STE K |
Practice Address - Street 2: | |
Practice Address - City: | ALEXANDRIA |
Practice Address - State: | LA |
Practice Address - Zip Code: | 71301-3380 |
Practice Address - Country: | US |
Practice Address - Phone: | 318-200-0308 |
Practice Address - Fax: | 318-740-2023 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-02-03 |
Last Update Date: | 2023-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RB0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Obesity Medicine | Group - Single Specialty |