PREMIER PAIN CENTER
NPI 1144734153
Non-Pharmacy Dispensing Site in Covington, LA

Q: What is Northshore Interventional Pain Management's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since November 29, 2017CLIA 19D1107672 · Waiver

7015 HWY 190 E SERVICE RD., STE 101, COVINGTON, LA 70433(479) 636-9702(877) 427-2307 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premier Pain Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PAIN CENTER (NPI 1144734153) is a healthcare organization registered as a non-pharmacy dispensing site in Covington, Louisiana and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Mackenzie Hahn, Ncpdp Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144734153

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameNORTHSHORE INTERVENTIONAL PAIN MANAGEMENT

Location Address7015 HWY 190 E SERVICE RD., STE 101Covington, LA 70433

Mailing AddressPo Box 3328Bentonville, AR 72712 · (479) 636-9702 · Fax (877) 427-2307

Phone(479) 636-9702

Fax(877) 427-2307

Organization SubpartNo

Authorized OfficialMackenzie HahnNcpdp Coordinator · (479) 636-9702

Enumeration DateNovember 29, 2017

✔ NPI 1144734153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in LA · MD.020506

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7015 HWY 190 E SERVICE RD., Covington, LA 70433

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Other Names 1

Doing Business AsPremier Pain Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1107672

Premier Pain Center · Covington, LA

Active · expires Nov 9, 2027

CLIA Number19D1107672

Laboratory TypePhysician Office

Certificate Effective DateNovember 10, 2025

Certificate Expiration DateNovember 9, 2027

Laboratory DirectorAllan T. Parr, MD

Laboratory Phone(985) 809-1997

Laboratory LocationPremier Pain Center7015 Highway 190 East Service Road, Suite 201, Covington, LA 70433

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Interventional Pain Management's NPI number?

The NPI number for Northshore Interventional Pain Management is 1144734153. It was assigned to this organization in the NPPES registry on November 29, 2017. The provider is doing business as Premier Pain Center.

Where is Northshore Interventional Pain Management located?

Northshore Interventional Pain Management is located at 7015 Hwy 190 E Service Rd. Ste 101, Covington, LA 70433. The listed phone number is (479) 636-9702.

What is Northshore Interventional Pain Management's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Northshore Interventional Pain Management hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1107672) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northshore Interventional Pain Management was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.