Provider Demographics
NPI:1891269270
Name:GLOBAL PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:GLOBAL PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HADDIJOUTU
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-825-4050
Mailing Address - Street 1:8055 RITCHIE HIGHWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1067
Mailing Address - Country:US
Mailing Address - Phone:443-825-4050
Mailing Address - Fax:
Practice Address - Street 1:8055 RITCHIE HIGHWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1067
Practice Address - Country:US
Practice Address - Phone:443-825-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL PAIN MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory