10D2162909 CLIA NUMBER - WEST POMPANO PAIN CENTER

Laboratory Demographics

CLIA Number: 10D2162909

Facility Name: WEST POMPANO PAIN CENTER

Facility Address:
2400 W SAMPLE RD STE 4
POMPANO BEACH, FL
ZIP 33073
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Facility Phone Number: 954 580-1036

Facility Type: Other - PAIN MANAGEMENT

Certificate Type: Waiver

NPI Number: 1225817117

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	10D2162909
LAB Type	Other - PAIN MANAGEMENT
Facility Name	WEST POMPANO PAIN CENTER
Street	2400 W SAMPLE RD STE 4
City	POMPANO BEACH
State	FL
ZIP	33073
Phone	954 580-1036
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

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