Provider Demographics
NPI:1568672376
Name:METRO SPINE PAINCENTER, L.L.C.
Entity Type:Organization
Organization Name:METRO SPINE PAINCENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:GALATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-387-2800
Mailing Address - Street 1:10777 NALL AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1231
Mailing Address - Country:US
Mailing Address - Phone:913-387-2800
Mailing Address - Fax:913-387-2970
Practice Address - Street 1:10777 NALL AVE
Practice Address - Street 2:SUITE130
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1231
Practice Address - Country:US
Practice Address - Phone:913-387-2800
Practice Address - Fax:913-387-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical