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PAIN MANAGEMENT CENTERS OF AMERICA PSC NPI 1417614116


NPI Information

NPI: 1417614116
Provider Name: PAIN MANAGEMENT CENTERS OF AMERICA, PSC

Doing Business As: ADVANCED ANALYTICAL DIAGNOSTIX

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1101 PROFESSIONAL BLVD STE 215
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-7246
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PAIN MANAGEMENT CENTERS OF AMERICA, PSC is a clinical medical laboratory in Evansville, IN. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PAIN MANAGEMENT CENTERS OF AMERICA, PSC NPI is 1417614116. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Analytical Diagnostix.

The provider's business location address is:

1101 PROFESSIONAL BLVD STE 215
EVANSVILLE, IN
ZIP 47714-016
Phone: (812) 477-7246
Fax: (812) 477-7240

The provider's authorized official is Mahendra R. Sanapati .
The authorized official title is President and has the following contact phone number (812) 573-1207.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 4/30/2022.


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
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300023007MEDICAIDINDIANA

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

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