ILUMINA LIFE CENTER, P.C.
NPI 1942686753
Pain Medicine - Interventional Pain Medicine in Burnham, PA

Active since August 04, 2015
418 N LOGAN BLVD, SUITE B, BURNHAM, PA 17009(717) 242-3900(717) 248-8590 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ilumina Life Center, P.c. NPPES

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

ILUMINA LIFE CENTER, P.C. (NPI 1942686753) is a healthcare organization registered as an interventional pain medicine in Burnham, Pennsylvania and active in the NPI registry since August 2015. The organization lists Melody Cooper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942686753
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameILUMINA LIFE CENTER, P.C.
Location Address418 N LOGAN BLVD, SUITE BBurnham, PA 17009-1816
Mailing Address136 Jaycee Dr, Suite 10Johnstown, PA 15904-3650 · (814) 467-4055 · Fax (814) 262-8161
Fax(717) 248-8590
Organization SubpartNo
Authorized OfficialMelody CooperCeo · (814) 467-4055
Enumeration DateAugust 4, 2015
NPI 1942686753 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 PA · MD423112
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.

418 N LOGAN BLVD, Burnham, PA 17009

Other Identifiers 1

Medicare PIN387913PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Anesthesiology (Pain Medicine)
418 N LOGAN BLVD
BURNHAM, PA 17009
Allergy & Immunology
418 N LOGAN BLVD
BURNHAM, PA 17009
Specialist
418 N LOGAN BLVD
BURNHAM, PA 17009
Anesthesiology (Pain Medicine)
418 N LOGAN BLVD, SUITE A
BURNHAM, PA 17009

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 Ilumina Life Center, P.C.'s NPI number?

The NPI number for Ilumina Life Center, P.C. is 1942686753. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Ilumina Life Center, P.C. located?

Ilumina Life Center, P.C. is located at 418 N Logan Blvd Suite B, Burnham, PA 17009. The listed phone number is (717) 242-3900.

What is Ilumina Life Center, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ilumina Life Center, P.C. was last updated on August 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.