PAIN AND SPINE TREATMENT CENTER, LLC
NPI 1255842365
Clinic/Center - Pain in Phoenix, AZ

Active since October 16, 2017CLIA 03D2139540 · Waiver
16620 N 40TH ST STE D1, PHOENIX, AZ 85032(480) 565-7346 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2019, Mar 17, 2018, Oct 16, 2017 (3 updates tracked since 2017).

About Pain And Spine Treatment Center, Llc NPPES

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

PAIN AND SPINE TREATMENT CENTER, LLC (NPI 1255842365) is a healthcare organization registered as a pain in Phoenix, Arizona and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 5, 2027, maintains a secondary practice location in Phoenix, and lists Martha Hernandez, Director, as its authorized official.

NPPES Registry Identity

NPI1255842365
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePAIN AND SPINE TREATMENT CENTER, LLC
Location Address16620 N 40TH ST STE D1Phoenix, AZ 85032-3350
Mailing Address2345 E Thomas Rd Ste 400Phoenix, AZ 85016-7862 · (602) 343-2941 · Fax (623) 748-5540
Organization SubpartNo
Authorized OfficialMartha HernandezDirector · (602) 343-2907
Enumeration DateOctober 16, 2017
Last NPPES UpdateJuly 2, 20193 updates tracked since enumeration
NPI 1255842365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
16620 N 40TH ST STE D1, Phoenix, AZ 85032

Secondary Practice Location 1

Location 15110 N 44th St Ste L200Phoenix, AZ 85018-1675 · Phone (602) 343-2907 · Fax (602) 532-7753

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 03D2139540

Pain And Spine Treatment Center LLC · Phoenix, AZ
Active · expires Nov 5, 2027
CLIA Number03D2139540
Laboratory TypeOutpatient Treatment Ctr
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorMohammad Abbasian
Laboratory Phone(480) 565-7246
Laboratory LocationPain And Spine Treatment Center LLC16620 N 40th St, Ste D1, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
16620 N 40TH ST STE D1, STE D1
PHOENIX, AZ 85032

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 Pain And Spine Treatment Center, LLC's NPI number?

The NPI number for Pain And Spine Treatment Center, LLC is 1255842365. It was assigned to this organization in the NPPES registry on October 16, 2017.

Where is Pain And Spine Treatment Center, LLC located?

Pain And Spine Treatment Center, LLC is located at 16620 N 40th St Ste D1, Phoenix, AZ 85032. The listed phone number is (480) 565-7346.

What is Pain And Spine Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Pain And Spine Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2139540) is associated with this NPI, valid through November 5, 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 Pain And Spine Treatment Center, LLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.