# PAIN CENTERS OF INDIANA - EVANSVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APM INDIANA MSO, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538532536
- **Legal business name:** APM INDIANA MSO, LLC
- **Authorized official:** VISHAL LAL (CEO)
- **Authorized official phone:** (414) 325-7246

## Contact information

- **Practice address:** 4411 WASHINGTON AVE, EVANSVILLE, IN 47714-0805
- **Practice address phone:** (888) 901-7246
- **Practice address fax:** (877) 598-6856
- **Mailing address:** 4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
- **Mailing address phone:** (414) 325-7246
- **Mailing address fax:** (414) 325-3770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 10/24/2016
