Providence Pain Management Center, PA
Providence Pain Management Center, PA is a Clinical Medical Laboratory in Bowie, Maryland. Works from 2 locations. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2018
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6911 Laurel Bowie Rd Ste 212BBowie, MD 20715-1712
Phone: (301) 755-9500
Fax: (301) 747-6017
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 201 Pine Bluff Rd Ste 1, Salisbury, MD 21801-7163 — (410) 648-2000
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 21D2142104 (MD) |
|---|
Record details
| NPI number | 1285121749 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Oppong — Ceo · (301) 750-9500 |
| Other names | Innovative Laboratories |
| NPI enumerated | April 19, 2018 |
| Last updated in NPPES | August 13, 2019 |
| Mailing address | 6911 Laurel Bowie Rd Ste 212b, Bowie, MD 20715-1712 |
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