02D2119644 CLIA NUMBER - NEUROVERSION INC

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Laboratory Demographics

CLIA Number: 02D2119644

Facility Name: NEUROVERSION INC

Facility Address:
2925 DEBARR ROAD, SUITE 240
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 339-4650

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487102208

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	02D2119644
LAB Type	Physician Office
Facility Name	NEUROVERSION INC
Street	2925 DEBARR ROAD, SUITE 240
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 339-4650
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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