Provider Demographics
NPI:1427557255
Name:UNITED PAIN INSTITUTE, INC
Entity type:Organization
Organization Name:UNITED PAIN INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANANGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:PIERPOINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-634-4606
Mailing Address - Street 1:6424 E BROADWAY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1750
Mailing Address - Country:US
Mailing Address - Phone:480-834-3084
Mailing Address - Fax:480-452-0582
Practice Address - Street 1:4838 E BASELINE RD STE 109
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4671
Practice Address - Country:US
Practice Address - Phone:480-834-3084
Practice Address - Fax:480-452-0582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain