10D2098382 CLIA NUMBER - ANESCO INTERVENTIONAL PAIN INSTITUTE

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Laboratory Demographics

CLIA Number: 10D2098382

Facility Name: ANESCO INTERVENTIONAL PAIN INSTITUTE

Facility Address:
4800 NE 20TH TERRACE STE 303
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 954 451-3007

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881040608

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	10D2098382
LAB Type	Physician Office
Facility Name	ANESCO INTERVENTIONAL PAIN INSTITUTE
Street	4800 NE 20TH TERRACE STE 303
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 451-3007
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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