Organization
MATSUNAGA PAIN MANAGEMENT LLC
Active
Organization
MATSUNAGA PAIN MANAGEMENT LLC
Active
Other names
Innovative Health Labs
Organization subpart
No
Provider details
NPI number
Authorized official
TIM KARTISEK (BILLING SUPERVISOR)
(443) 371-7749
Entity
Organization
Contact information
Practice address
9755 PATUXENT WOODS DR, SUITE 100, COLUMBIA, MD 21046-2286
(410) 218-3458
Mailing address
8894 STANFORD BLVD, SUITE 104, COLUMBIA, MD 21045-4794
(410) 997-7246
(410) 997-7226
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2117103
MD
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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