Provider Demographics
NPI:1346322187
Name:XRS LLC
Entity Type:Organization
Organization Name:XRS LLC
Other - Org Name:COLUMBUS PAIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-376-0700
Mailing Address - Street 1:2400 N PARK DR
Mailing Address - Street 2:SUITE 20
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4425
Mailing Address - Country:US
Mailing Address - Phone:812-376-0700
Mailing Address - Fax:812-376-8625
Practice Address - Street 1:2400 NORTH PARK
Practice Address - Street 2:SUITE 20
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4467
Practice Address - Country:US
Practice Address - Phone:812-376-0700
Practice Address - Fax:812-376-8625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INZR7020Medicare PIN