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AGELESS MEN'S HEALTH
NPI 1649925389
Family Medicine in Eagle, ID

Active since February 21, 2022CLIA 13D2180351 · Waiver
1545 E IRON EAGLE DR STE 101, EAGLE, ID 83616(208) 906-9128 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2024, Nov 13, 2023, Feb 21, 2022 (3 updates tracked since 2022).

About Ageless Men's Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGELESS MEN'S HEALTH (NPI 1649925389) is a healthcare organization registered as a family medicine in Eagle, Idaho and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Amanda Wilkinson, Business Operations Director, as its authorized official.

NPPES Registry Identity

NPI1649925389
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMH SERIES II ID, LLC
Location Address1545 E IRON EAGLE DR STE 101Eagle, ID 83616-7079
Mailing Address1545 E Iron Eagle Dr Ste 101Eagle, ID 83616-7079
Phone(208) 906-9128
Organization SubpartNo
Authorized OfficialAmanda WilkinsonBusiness Operations Director · (702) 818-0446
Enumeration DateFebruary 21, 2022
Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1649925389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1545 E IRON EAGLE DR STE 101, Eagle, ID 83616
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Other Names 1

Doing Business AsAgeless Men's Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2180351

Ageless Men's Health · Meridian, ID
Active · expires Mar 11, 2028
CLIA Number13D2180351
Laboratory TypeTestosterone Therapy Clin
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBen D. Leavitt
Laboratory Phone(208) 906-9128
Laboratory LocationAgeless Men's Health3875 E Overland Rd 1E, Meridian, ID 83642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amh Series II Id, LLC's NPI number?

The NPI number for Amh Series II Id, LLC is 1649925389. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Amh Series II Id, LLC located?

Amh Series II Id, LLC is located at 1545 E Iron Eagle Dr Ste 101, Eagle, ID 83616. The listed phone number is (208) 906-9128.

What is Amh Series II Id, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Amh Series II Id, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2180351) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amh Series II Id, LLC was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.