Provider Type Icon

LAKE CAROLINA PAIN AND SPINE CENTER LLC NPI 1326430208


NPI Information

NPI: 1326430208
Provider Name: LAKE CAROLINA PAIN AND SPINE CENTER, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 42D2180681

Address:
1821 CLEMSON RD
COLUMBIA, SC
ZIP 29229
Phone: (803) 788-5916
Get Directions

LAKE CAROLINA PAIN AND SPINE CENTER, LLC is a pain medicine anesthesiology in Columbia, SC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LAKE CAROLINA PAIN AND SPINE CENTER, LLC NPI is 1326430208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1821 CLEMSON RD
COLUMBIA, SC
ZIP 29229-832
Phone: (803) 788-5916
Fax: (803) 788-9564

The provider's authorized official is Kamran Z Koranloo .
The authorized official title is Physician and has the following contact phone number (803) 764-1228.

The CLIA number assigned to this NPI record is 42D2180681 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 1/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine23150SOUTH CAROLINAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.