MESA PAIN CENTER LLC – NPI #1366902249
Clinic/Center

MESA PAIN CENTER LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1366902249 to MESA PAIN CENTER LLC on March 25, 2019. 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

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 MESA PAIN CENTER LLC below.

NPI Profile for
MESA PAIN CENTER LLC

NPI Number
1366902249
Enumeration Date

(more than 7 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
MESA PAIN CENTER LLC
Primary location
3850 E BASELINE RD STE 117
MESA, AZ 85206-4404
Phone: (480) 712-6663 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CORI KOVAC
OWNER
Phone: (480) 712-6663
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.