01D2027720 CLIA NUMBER - PHENIX CITY PAIN MANAGEMENT

Laboratory Demographics

CLIA Number: 01D2027720

Facility Name: PHENIX CITY PAIN MANAGEMENT

Facility Address:
1810 STADIUM DRIVE #140
PHENIX CITY, AL
ZIP 36867
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Facility Phone Number: 334 664-1969

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356630792

Taxonomy: 208VP0000X - Pain Medicine
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

CLIA Record

Field Name Field Value
CLIA Number 01D2027720
LAB Type Physician Office
Facility Name PHENIX CITY PAIN MANAGEMENT
Street 1810 STADIUM DRIVE #140
City PHENIX CITY
State AL
ZIP 36867
Phone 334 664-1969
CertificateType 4
CertificateEffectiveDate 7/29/2023
CertificateExpirationDate 7/28/2025
FacilityType Waiver

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