BKC LABORATORY LLC NPI 1356831069

NPI Information

NPI: 1356831069
Provider Name: BKC LABORATORY LLC

Doing Business As: BKC PAIN SPECIALISTS LLC.

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1065 DELAWARE AVE STE A
MARION, OH
ZIP 43302
Phone: (740) 387-7246
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BKC LABORATORY LLC is a pain clinic center in Marion, OH. BKC LABORATORY LLC NPI is 1356831069. The provider is registered as an organization entity type.
The provider Is Doing Business As Bkc Pain Specialists Llc..

The provider's business location address is:

1065 DELAWARE AVE STE A
MARION, OH
ZIP 43302-461
Phone: (740) 387-7246
Fax: (740) 387-7244

The provider's authorized official is Adil Omar Katabay .
The authorized official title is Owner/m.d. and has the following contact phone number (614) 738-4128.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 6/16/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	35080847	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2318414	MEDICAID	OHIO
2	0127499	MEDICAID	OHIO

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

NPI Synchronization or Removal

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