MESA PAIN CENTER LLC; NPI #1366902249

Contact Information

MESA PAIN CENTER LLC

3850 E BASELINE RD STE 117
MESA, AZ 85206-4404

Phone: 480-712-6663
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for MESA PAIN CENTER LLC

NPI #	`1366902249`
LBN Legal business name	MESA PAIN CENTER LLC
Authorized official	CORI KOVAC - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/25/2019
Last updated	03/25/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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