| Advanced Medical Innovations Llc | |
|
9570 S Mccarran Blvd Ste 108 Reno NV 89523-9202 | |
| (775) 499-5121 | |
| (775) 746-2566 |
| Full Name | Advanced Medical Innovations Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9570 S Mccarran Blvd Ste 108, Reno, Nevada |
| Authorized Official Name and Position | Melissa Perotti (PRESIDENT) |
| Authorized Official Contact | 7758433782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Innovations Llc 9570 S Mccarran Blvd Ste 108 Reno NV 89523-9202 Ph: (775) 499-5121 | Advanced Medical Innovations Llc 9570 S Mccarran Blvd Ste 108 Reno NV 89523-9202 Ph: (775) 499-5121 |
| NPI Number | 1639820731 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Medicare PECOS PAC ID | 7911393459 |
|---|---|
| Medicare Enrollment ID | O20220408001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639820731 | NPI | - | NPPES |
| B01088 | Other | NV | B01088 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265561021 PECOS PAC ID: 0941344055 Enrollment ID: I20100212000312 |
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