08D2139181 CLIA NUMBER - CENTER FOR INTERVENTIONAL PAIN SPINE

Laboratory Demographics

CLIA Number: 08D2139181

Facility Name: CENTER FOR INTERVENTIONAL PAIN SPINE

Facility Address:
405 SILVERSIDE ROAD SUITE 104
WILMINGTON, DE
ZIP 19809
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Facility Phone Number: 302 525-0058

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144527003

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 08D2139181
LAB Type Physician Office
Facility Name CENTER FOR INTERVENTIONAL PAIN SPINE
Street 405 SILVERSIDE ROAD SUITE 104
City WILMINGTON
State DE
ZIP 19809
Phone 302 525-0058
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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