PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC – NPI #1043579741
Clinic/Center

PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC is an AHC clinic located in MILWAUKEE, WI. NPPES has assigned the NPI number 1043579741 to PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC on May 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 10 years ago on Nov 28, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC below.

NPI Profile for
PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC

NPI Number
1043579741
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC
Primary location
959 N MAYFAIR RD
MILWAUKEE, WI 53226-3465
Phone: (414) 955-7246 Fax: (414) 955-6396
Mailing address
4131 W LOOMIS RD STE 300
GREENFIELD, WI 53221-2059
Phone: (414) 325-7246 Fax: (414) 325-3770
Organization Subpart
No
Authorized Official
VISHAL LAL
CHIEF EXECUTIVE OFFICER
Phone: (414) 325-7246
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.