05D2100065 CLIA NUMBER - SYNOVATION MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D2100065

Facility Name: SYNOVATION MEDICAL GROUP

Facility Address:
3434 MIDWAY DRIVE SUITE 2001
SAN DIEGO, CA
ZIP 92110
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Facility Phone Number: 619 325-1161

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326425661

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 05D2100065
LAB Type Physician Office
Facility Name SYNOVATION MEDICAL GROUP
Street 3434 MIDWAY DRIVE SUITE 2001
City SAN DIEGO
State CA
ZIP 92110
Phone 619 325-1161
CertificateType 4
CertificateEffectiveDate 8/6/2023
CertificateExpirationDate 8/5/2025
FacilityType Waiver

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