Provider Demographics
NPI:1861225260
Name:PAIRADOX LLC
Entity type:Organization
Organization Name:PAIRADOX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DELATTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-656-3045
Mailing Address - Street 1:1608 WILLIAMS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3195
Mailing Address - Country:US
Mailing Address - Phone:615-656-3045
Mailing Address - Fax:
Practice Address - Street 1:1608 WILLIAMS DR STE 202
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3195
Practice Address - Country:US
Practice Address - Phone:615-656-3045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIRADOX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-21
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty