01D1099480 CLIA NUMBER - CENTER FOR PAIN OF MONTGOMERY , PC, THE

Laboratory Demographics

CLIA Number: 01D1099480

Facility Name: CENTER FOR PAIN OF MONTGOMERY , PC, THE

Facility Address:
448 ST LUKES DRIVE
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: 334 288-7808

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1770893943

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name Field Value
CLIA Number 01D1099480
LAB Type Physician Office
Facility Name CENTER FOR PAIN OF MONTGOMERY , PC, THE
Street 448 ST LUKES DRIVE
City MONTGOMERY
State AL
ZIP 36117
Phone 334 288-7808
CertificateType 2
CertificateEffectiveDate 7/15/2022
CertificateExpirationDate 7/14/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024