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EXODUS PAIN CLINIC
NPI 1366849572
Pain Medicine - Interventional Pain Medicine in Boise, ID

Active since December 03, 2014CLIA 13D2075881 · Certificate of Compliance
987 S ALLANTE PL, BOISE, ID 83709(208) 947-7246(208) 297-7772 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Exodus Pain Clinic NPPES

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

EXODUS PAIN CLINIC (NPI 1366849572) is a healthcare organization registered as an interventional pain medicine in Boise, Idaho and active in the NPI registry since December 2014. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Daniel Marsh, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1366849572
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameEXODUS PAIN CLINIC
Location Address987 S ALLANTE PLBoise, ID 83709-1612
Mailing Address987 S Allante PlBoise, ID 83709-1612 · (208) 947-7246 · Fax (208) 297-7772
Phone(208) 947-7246
Fax(208) 297-7772
Organization SubpartNo
Authorized OfficialDaniel MarshMd/owner · (208) 994-2907
Enumeration DateDecember 3, 2014
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1366849572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in ID · M9452
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
987 S ALLANTE PL, Boise, ID 83709
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Other Identifiers 1

Medicaid1356377535ID

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

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 Compliance 13D2075881

Exodus Pain Clinic · Boise, ID
Active · expires Jul 10, 2027
CLIA Number13D2075881
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDaniel Marsh
Laboratory Phone(208) 947-7246
Laboratory LocationExodus Pain Clinic987 S Allante Place, Boise, ID 83709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

SLAVIK OSIPCHUK NP
Pain Medicine (Pain Medicine)
987 S ALLANTE PL
BOISE, ID 83709
Ada County (208) 947-7246
DR. DANIEL RICHARD MARSH MD
Physical Medicine & Rehabilitation (Pain Medicine)
987 S ALLANTE PL
BOISE, ID 83709
Ada County (208) 947-7246

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 Exodus Pain Clinic's NPI number?

The NPI number for Exodus Pain Clinic is 1366849572. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Exodus Pain Clinic located?

Exodus Pain Clinic is located at 987 S Allante Pl, Boise, ID 83709. The listed phone number is (208) 947-7246.

What is Exodus Pain Clinic's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Exodus Pain Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D2075881) is associated with this NPI, valid through July 10, 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 Exodus Pain Clinic was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.