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Organization

BKC LABORATORY LLC

Active
Other names
BKC Pain Specialists LLC., BKC Pain Specialists LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ADIL OMAR KATABAY M.D. (OWNER/M.D.)
(614) 738-4128
Entity
Organization

Contact information

Practice address
1065 DELAWARE AVE STE A, MARION, OH 43302-6461
(740) 387-7246
(740) 387-7244
Mailing address
1065 DELAWARE AVE STE A, MARION, OH 43302-6461
(740) 387-7246
(740) 387-7244

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
35080847
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127499
OH
05
2318414
OH
Enumeration date
05/17/2018
Last updated
06/16/2018
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