NPI 1033665450

Matsunaga Pain Management LLC

Organisation Clinical Medical Laboratory Columbia, MD

Practice location

Address: 9755 Patuxent Woods Dr Suite 100, Columbia, MD 21046-2286
Phone: (410) 218-3458
Mailing address: 8894 Stanford Blvd Suite 104, Columbia, MD 21045-4794

Authorised official

Name: Tim Kartisek
Title: Billing Supervisor
Phone: (443) 371-7749

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 21D2117103 (MD)

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Registry record

NPI: 1033665450
Entity type: Organization
NPI issued: 26 Aug 2016
Record last updated: 26 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.