| NPI | 1790151082 |
|---|---|
| Doing Business As | PAIN CARE CENTER LAB |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |