Provider Type Icon

MATSUNAGA PAIN MANAGEMENT LLC NPI 1033665450


NPI Information

NPI: 1033665450
Provider Name: MATSUNAGA PAIN MANAGEMENT LLC

Doing Business As: INNOVATIVE HEALTH LABS

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 21D2117103

Address:
9755 PATUXENT WOODS DR
SUITE 100
COLUMBIA, MD
ZIP 21046
Phone: (410) 218-3458
Get Directions

MATSUNAGA PAIN MANAGEMENT LLC is a clinical medical laboratory in Columbia, MD. 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. MATSUNAGA PAIN MANAGEMENT LLC NPI is 1033665450. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Health Labs.

The provider's business location address is:

9755 PATUXENT WOODS DR
SUITE 100
COLUMBIA, MD
ZIP 21046-286
Phone: (410) 218-3458

The provider's authorized official is Tim Kartisek .
The authorized official title is Billing Supervisor and has the following contact phone number (443) 371-7749.

The CLIA number assigned to this NPI record is 21D2117103 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.


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 Laboratory21D2117103MARYLANDYes

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: 11/14/2023

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.