Provider Demographics
NPI:1710985353
Name:METABOLIC SOLUTIONS, INC.
Entity Type:Organization
Organization Name:METABOLIC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:603-598-6960
Mailing Address - Street 1:460 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1220
Mailing Address - Country:US
Mailing Address - Phone:603-598-6960
Mailing Address - Fax:603-598-6973
Practice Address - Street 1:460 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1220
Practice Address - Country:US
Practice Address - Phone:603-598-6960
Practice Address - Fax:603-598-6973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02731291U00000X
NY291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02517655Medicaid
NC7001225Medicaid
SCL00181Medicaid
OH2386565Medicaid
NH30802448Medicaid
AKLB460NHMedicaid
AZ89450201Medicaid
LA1164119Medicaid
AKLB460NHMedicaid
NH30802448Medicaid