Primary Care and Pain Management Clinic LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PRIMARY CARE AND PAIN MANAGEMENT CLINIC LLC

Practice address

5415 Beacon Dr
Suite 163
Irondale, AL 35210-2860

Phone

(205) 956-8767

NPI assigned

Feb 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mila Veluz

Title

Registered Nurse

Phone

(205) 956-8767

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1215328497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 BEACON DR",
            "address_2": "SUITE 163",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 BEACON DR",
            "address_2": "SUITE 163",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102860",
            "telephone_number": "205-956-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND PAIN MANAGEMENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "VELUZ",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "205-956-8767"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Irondale, AL by specialty
• Pain Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.