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PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC NPI 1609450568


NPI Information

NPI: 1609450568
Provider Name: PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
Classification: Pathology - 247ZC0005X
Entity Type: Organization

Specialization: Clinical Laboratory Director, Non-physician

Address:
67 SAND PIT RD STE 308
DANBURY, CT
ZIP 06810
Phone: (203) 896-4319
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PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC is a clinical laboratory director and non-physician pathology in Danbury, CT. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC NPI is 1609450568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

67 SAND PIT RD STE 308
DANBURY, CT
ZIP 06810-032
Phone: (203) 896-4319

The provider's authorized official is Rae J Davis .
The authorized official title is M.d. and has the following contact phone number (703) 914-8000.

The enumeration date for this NPI number is 5/7/2021 and was last updated on 5/7/2021.


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
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

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.