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MIDWEST PAIN CLINIC INTERVENTIONAL LLC
NPI 1548696446
Clinic/Center - Pain in Michigan City, IN

Active since September 24, 2013CLIA 15D2001084 · Waiver
350 COMMERCE SQ, MICHIGAN CITY, IN 46360(219) 872-9158(219) 873-9196 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Pain Clinic Interventional Llc NPPES

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

MIDWEST PAIN CLINIC INTERVENTIONAL LLC (NPI 1548696446) is a healthcare organization registered as a pain in Michigan City, Indiana and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Paul C Madison, Owner, as its authorized official.

NPPES Registry Identity

NPI1548696446
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameMIDWEST PAIN CLINIC INTERVENTIONAL LLC
Location Address350 COMMERCE SQMichigan City, IN 46360-3376
Mailing Address350 Commerce SqMichigan City, IN 46360-3376 · (219) 872-9158 · Fax (219) 873-9196
Phone(219) 872-9158
Fax(219) 873-9196
Organization SubpartNo
Authorized OfficialPaul C MadisonOwner · (219) 872-9158
Enumeration DateSeptember 24, 2013
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1548696446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in IN · 01031628A
350 COMMERCE SQ, Michigan City, IN 46360
Open in Google Maps ↗

Other Identifiers 2

Medicare PININ1719IN
Medicare PINF100107816IL

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 15D2001084

Midwest Pain Clinic Interventional · Michigan City, IN
Active · expires Apr 22, 2027
CLIA Number15D2001084
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorPaul Madison
Laboratory Phone(219) 872-9158
Laboratory LocationMidwest Pain Clinic Interventional350 Commerce Square, Michigan City, IN 46360
CLIA data matches this NPI record on: Address Name Phone
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 Midwest Pain Clinic Interventional LLC's NPI number?

The NPI number for Midwest Pain Clinic Interventional LLC is 1548696446. It was assigned to this organization in the NPPES registry on September 24, 2013.

Where is Midwest Pain Clinic Interventional LLC located?

Midwest Pain Clinic Interventional LLC is located at 350 Commerce Sq, Michigan City, IN 46360. The listed phone number is (219) 872-9158.

What is Midwest Pain Clinic Interventional LLC's specialty?

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

Does Midwest Pain Clinic Interventional LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2001084) is associated with this NPI, valid through April 22, 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 Midwest Pain Clinic Interventional LLC was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.