INTEGRATED PAIN CONSULTANTS LLC NPI 1538612965

NPI Information

NPI: 1538612965
Provider Name: INTEGRATED PAIN CONSULTANTS, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2137702

Address:
9500 E IRONWOOD SQUARE DR STE 125
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 626-2552
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INTEGRATED PAIN CONSULTANTS, LLC is a multi-specialty clinic center in Scottsdale, AZ. INTEGRATED PAIN CONSULTANTS, LLC NPI is 1538612965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9500 E IRONWOOD SQUARE DR STE 125
SCOTTSDALE, AZ
ZIP 85258-582
Phone: (480) 626-2552
Fax: (480) 626-2551

The provider's authorized official is Adrian Miranda .
The authorized official title is Director-credentials & Contracting and has the following contact phone number (602) 570-3169.

The CLIA number assigned to this NPI record is 03D2137702 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2016 and was last updated on 6/23/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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	183777	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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