03D2023483 CLIA NUMBER - ADVANCED PAIN MANAGEMENT

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Laboratory Demographics

CLIA Number: 03D2023483

Facility Name: ADVANCED PAIN MANAGEMENT

Facility Address:
815 E WARNER RD STE 104
CHANDLER, AZ
ZIP 85224
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Facility Phone Number: 623 466-6350

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962516674

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name	Field Value
CLIA Number	03D2023483
LAB Type	Physician Office
Facility Name	ADVANCED PAIN MANAGEMENT
Street	815 E WARNER RD STE 104
City	CHANDLER
State	AZ
ZIP	85224
Phone	623 466-6350
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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