LAKE CAROLINA PAIN AND SPINE CENTER, LLC
NPI 1326430208
Anesthesiology - Pain Medicine in Columbia, SC

Active since March 02, 2015CLIA 42D2180681 · Waiver
1821 CLEMSON RD, COLUMBIA, SC 29229(803) 788-5916(803) 788-9564 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Carolina Pain And Spine Center, Llc NPPES

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

LAKE CAROLINA PAIN AND SPINE CENTER, LLC (NPI 1326430208) is a healthcare organization registered as a pain medicine in Columbia, South Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Kamran Z Koranloo, Physician, as its authorized official.

NPPES Registry Identity

NPI1326430208
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameLAKE CAROLINA PAIN AND SPINE CENTER, LLC
Location Address1821 CLEMSON RDColumbia, SC 29229-7832
Mailing Address1821 Clemson RdColumbia, SC 29229-7832 · (803) 788-5916 · Fax (803) 788-9564
Fax(803) 788-9564
Organization SubpartNo
Authorized OfficialKamran Z KoranlooPhysician · (803) 764-1228
Enumeration DateMarch 2, 2015
Last NPPES UpdateJanuary 6, 2020
NPI 1326430208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in SC · 23150
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

1821 CLEMSON RD, Columbia, SC 29229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 42D2180681

Lake Carolina Pain And Spine Center · Columbia, SC
Active · expires Mar 17, 2028
CLIA Number42D2180681
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorKamran Z. Koranloo
Laboratory Phone(803) 708-6160
Laboratory LocationLake Carolina Pain And Spine Center1821 Clemson Road #2, Columbia, SC 29229
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 2

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

Clinic/Center (Podiatric)
1821 CLEMSON RD
COLUMBIA, SC 29229
Anesthesiology (Pain Medicine)
1821 CLEMSON RD
COLUMBIA, SC 29229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326430208, enumerated as an "organization" on March 02, 2015.

The provider is located at 1821 CLEMSON RD COLUMBIA, SC 29229 and the phone number is (803) 788-5916.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.