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
Update your record
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