03D1097134 CLIA NUMBER - PAIN INSTITUTE OF SOUTHERN ARIZONA,THE

Laboratory Demographics

CLIA Number: 03D1097134

Facility Name: PAIN INSTITUTE OF SOUTHERN ARIZONA,THE

Facility Address:
4582 N FIRST AVE, SUITE 170
TUCSON, AZ
ZIP 85718
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Facility Phone Number: 520 318-6035

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669934014

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	03D1097134
LAB Type	Physician Office
Facility Name	PAIN INSTITUTE OF SOUTHERN ARIZONA,THE
Street	4582 N FIRST AVE, SUITE 170
City	TUCSON
State	AZ
ZIP	85718
Phone	520 318-6035
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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