Provider Demographics
NPI:1548824535
Name:MARION PAIN CENTER, LLC
Entity type:Organization
Organization Name:MARION PAIN CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:KATABAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-387-7246
Mailing Address - Street 1:1065 DELAWARE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6461
Mailing Address - Country:US
Mailing Address - Phone:740-387-7246
Mailing Address - Fax:740-387-7244
Practice Address - Street 1:1065 DELAWARE AVE STE A
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6461
Practice Address - Country:US
Practice Address - Phone:740-387-7246
Practice Address - Fax:740-387-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies