OrganizationActive
Spine Sports and Pain Medicine, PC
NPI 1780819755 · Clinical Medical Laboratory · Fort Wayne, IN
Spine Sports and Pain Medicine, PC is a Clinical Medical Laboratory organization in Fort Wayne, IN (NPI 1780819755).
Provider details
- NPI number
- 1780819755
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Spine Sports and Pain Medicine
- Organization subpart
- Yes
- Authorized official
- Matthew Cavacini, Ceo(260) 969-6200
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7900 W Jefferson Blvd
Fort Wayne, IN 46804-4128
Phone: (260) 969-6200
Fax: (260) 969-6201
Street-level locationGet directions
Mailing address
Po Box 8857
Fort Wayne, IN 46898-8857
Other names (DBA / former)
- Doing business as
- Physicians Resource Labs
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-05-20
Frequently asked questions
- What is Spine Sports and Pain Medicine, PC's NPI number?
- Spine Sports and Pain Medicine, PC's National Provider Identifier (NPI) is 1780819755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine Sports and Pain Medicine, PC?
- Spine Sports and Pain Medicine, PC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Spine Sports and Pain Medicine, PC located?
- Spine Sports and Pain Medicine, PC's practice location on file with NPPES is 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128.
- What is Spine Sports and Pain Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Spine Sports and Pain Medicine, PC is (260) 969-6200.
- Who is the authorized official for Spine Sports and Pain Medicine, PC?
- The authorized official listed on Spine Sports and Pain Medicine, PC's NPPES record is Matthew Cavacini, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine Sports and Pain Medicine, PC's NPI active?
- Yes — Spine Sports and Pain Medicine, PC's NPI (1780819755) is active in the NPPES registry as of the last update on 2009-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.