Tristate Pain Institute

LBN: Tri-State Medical Specialists Llc
Tristate Pain Institute is an health care organization with primary practice located at 1510 Wagon Wheel Lane Suite 110, Fort Mohave AZ 86426-6698. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Tri-State Medical Specialists Llc can be contacted via phone (928) 788-3333, or through Venger, Joann via phone (928) 788-3333.

Contact Information

Primary practice address
1510 Wagon Wheel Lane Suite 110 Fort Mohave AZ 86426-6698
Fax: (928) 788-3555
Website:
Authorized official contact:
Name: Venger, Joann

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1023302643
LBN Legal business name Tri-State Medical Specialists Llc
DBA Doing business as Tristate Pain Institute
Authorized official Venger, Joann
Entity Organization
Organization subpart 1 Yes
Enumeration date May 31st, 2011
Last updated Jul 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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