Organization
ADVANCED PAIN MEDICINE PC
Active
Other names
Advanced Pain Medicine Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LODICO MD (MEDICAL DIRECTOR)
(724) 933-0300
Entity
Organization
Contact information
Practice address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030914
LAB PERMIT
PA
Enumeration date
11/01/2016
Last updated
08/24/2022
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