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VITAL PAIN CENTER LLC NPI 1740645621


NPI Information

NPI: 1740645621
Provider Name: VITAL PAIN CENTER, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 39D2255105

Address:
363 VANADIUM RD
SUITE 106
PITTSBURGH, PA
ZIP 15243
Phone: (412) 279-1231
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VITAL PAIN CENTER, LLC is an interventional pain medicine pain medicine in Pittsburgh, PA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. VITAL PAIN CENTER, LLC NPI is 1740645621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

363 VANADIUM RD
SUITE 106
PITTSBURGH, PA
ZIP 15243-497
Phone: (412) 279-1231
Fax: (412) 276-0935

The provider's authorized official is Jorge Nelson Rivero Becerra .
The authorized official title is Owner and has the following contact phone number (917) 595-9244.

The CLIA number assigned to this NPI record is 39D2255105 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 12/21/2015.


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
1208VP0014XPain MedicineInterventional Pain MedicineMD441214PENNSYLVANIAYes

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
11027556710001MEDICAIDPENNSYLVANIA
2246620FG3MEDICARE OSCAR/CERTIFICATION

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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