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04D2158800 CLIA NUMBER - PAIN TREATMENT CENTERS OF AMERICA, HOT SPRINGS

Laboratory Demographics

CLIA Number: 04D2158800

Facility Name: PAIN TREATMENT CENTERS OF AMERICA, HOT SPRINGS

Facility Address:
148 SAWTOOTH OAK STREET
HOT SPRINGS, AR
ZIP 71901
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Facility Phone Number: 501 391-1804

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1710460241

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 04D2158800
LAB Type Physician Office
Facility Name PAIN TREATMENT CENTERS OF AMERICA, HOT SPRINGS
Street 148 SAWTOOTH OAK STREET
City HOT SPRINGS
State AR
ZIP 71901
Phone 501 391-1804
CertificateType 4
CertificateEffectiveDate 12/6/2022
CertificateExpirationDate 12/5/2024
FacilityType Waiver

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