Organization Active NPI

Advanced Pain Medicine PC

  • Clinical Medical Laboratory
  • Wexford, PA
National Provider Identifier
1346792876
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED PAIN MEDICINE PC
Practice address
7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone
(724) 933-0300
Fax
(724) 933-0456
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mark Lodico, MDNPI 1700913456
Title
Medical Director
Phone
(724) 933-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376

Mailing address

7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone (724) 933-0300

Other identifiers 1

IdentifierTypeStateIssuer
030914OtherPALAB PERMIT

Other names 1

  • Advanced Pain Medicine Lab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain Medicine Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7000 Stonewood Dr
Ste 151
Wexford, PA 15090
Phone (412) 851-8844

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1346792876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR STE 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR STE 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "LODICO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-933-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB PERMIT",
            "identifier": "030914",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Medicine Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.