Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ilumina Life Center, PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1295101715

Ilumina Life Center, PC is a Pain Medicine (Anesthesiology) Physician in Johnstown, Pennsylvania. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

507 Tire Hill Rd Ste 100
Johnstown, PA 15905-7311
Phone: (814) 467-4055
Fax: (814) 262-9816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1295101715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Florentina Mayko — Ceo · (814) 467-4055
NPI enumeratedAugust 19, 2015
Last updated in NPPESMay 7, 2018
Mailing address136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650

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