Organization
PAIN CARE PHYSICIANS PLLC
Active
Parent organization
PAIN CARE PHYSICIANS PLLC
Other names
Kala Lab Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN CARE PHYSICIANS PLLC
Authorized official
KEVIN BRIAN MOON (DIRECTOR OF REVENUE AND FINANCE)
(206) 538-6300
Entity
Organization
Contact information
Practice address
3305 NASSAU ST STE B, EVERETT, WA 98201-4140
(206) 538-6300
(206) 538-6301
Mailing address
801 SW 16TH ST, SUITE 121, RENTON, WA 98057-2697
(206) 538-6300
(206) 538-6301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144779232
BILLING GROUP NPI
—
01
—
50D2121489
CLIA NUMBER
WA
Enumeration date
10/19/2016
Last updated
07/21/2025
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