BKC LABORATORY LLC (NPI# 1356831069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356831069 |
| Entity Type | Organization |
| Organization Name | BKC LABORATORY LLC |
| Other Organization Name | BKC PAIN SPECIALISTS LLC. |
| Practice Address |
1065 Delaware Ave Ste A Marion OH 43302-6461 |
| Practice Telephone | 7403877246 |
| Practice Fax Number | 7403877244 |
| Mailing Telephone | 7403877246 |
| Mailing Fax Number | 7403877244 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ADIL OMAR KATABAY (OWNER/M.D.) |
| Authorized Official Telephone | 6147384128 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
35080847 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2318414 | 05 | |
| OH | 0127499 | 05 |
| Other Name | Type Code |
|---|---|
| BKC Pain Specialists LLC | Doing Business As Name - Organization |
| BKC Pain Specialists LLC. | Doing Business As Name - Organization |
| Street Address |
1065 DELAWARE AVE STE A |
| City | MARION |
| State | OH |
| Zip Code | 43302-6461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558494716 | Douglas White | Nurse Anesthetist, Certified Registered | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2007-03-14 |
| 1265056063 | Krishna Patel | Nurse Practitioner | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2020-06-08 |
| 1548824535 | Marion Pain Center, LLC | Durable Medical Equipment & Medical Supplies | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2019-04-25 |
| 1326512286 | Kelsey Looney | Physician Assistant | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2019-01-14 |
| 1487168209 | A New Beginning Counseling Services LLC | Anesthesiology | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871691048 | Marion Pain Clinic, Inc. | Clinic/Center | 1199 Delaware Ave, Suite 108, Marion, OH 43302-6475 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447602 | James E. Rigot, Crna, Msn, LLC | Clinic/Center | 5700 Gateway Ste 100b, Mason, OH 45040-1890 | 2019-09-23 |
| 1528457991 | The Radebaugh LLC | Clinic/Center | 18240 Royalton Rd, Strongsville, OH 44136-5181 | 2015-01-22 |
| 1225446321 | Demer Retail Ventures Mh, LLC | Clinic/Center | 3505 Westgate, D416, Fairview Park, OH 44126-1331 | 2014-08-01 |
| 1497006993 | Dawn R List | Clinic/Center | 3671 Christopher Pl, Grove City, OH 43123-2428 | 2012-09-24 |
| 1366735953 | Health Maintenance Partners, Inc. | Clinic/Center | 10701 Us 23 South, Lucasville, OH 45648 | 2011-05-16 |
| 1114254059 | Aberdeen Medical | Clinic/Center | 1650 U.S. Highway 52, Aberdeen, OH 45101-9324 | 2009-11-13 |
| 1164668406 | Arrowhead Ventures LLC | Clinic/Center | 1514 Reynolds Rd, Maumee, OH 43537-1692 | 2008-12-16 |
| 1285770800 | County Wide Health, Inc. | Clinic/Center | 4282 State Route 93, Ironton, OH 45638-8358 | 2007-01-30 |
| 1407938822 | Comprehensive Headache and Pain Solutions LLC | Clinic/Center | 10945 Reed Hartman Highway, Suite # 219 217, Cincinnati, OH 45242 | 2006-10-19 |
| 1679686901 | Dayton Preventive Service | Clinic/Center | 2599 Needmore Rd, Dayton, OH 45414 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.