NORTH PHOENIX PAIN CENTER LLC – NPI #1497396337
Clinic/Center

NORTH PHOENIX PAIN CENTER LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1497396337 to NORTH PHOENIX PAIN CENTER LLC on October 02, 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

The NPI profile was previously updated about 6 years ago on Dec 30, 2019. 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 NORTH PHOENIX PAIN CENTER LLC below.

NPI Profile for
NORTH PHOENIX PAIN CENTER LLC

NPI Number
1497396337
Enumeration Date

(more than 6 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
NORTH PHOENIX PAIN CENTER LLC
Primary location
15650 N BLACK CANYON HWY # B121
PHOENIX, AZ 85053-4064
Phone: (480) 626-1746 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIKE BURROLA
OWNER
Phone: (480) 626-1746
Updated
Certification Date
Dec 30, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.