10D2255512 CLIA NUMBER - MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN

Laboratory Demographics

CLIA Number: 10D2255512

Facility Name: MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN

Facility Address:
1800 N FEDERAL HWY SUITE 105
POMPANO BEACH, FL
ZIP 33062
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Facility Phone Number: 954 934-9856

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396404836

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	10D2255512
LAB Type	Physician Office
Facility Name	MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN
Street	1800 N FEDERAL HWY SUITE 105
City	POMPANO BEACH
State	FL
ZIP	33062
Phone	954 934-9856
CertificateType	4
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	Waiver

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