10D2285417 CLIA NUMBER - SEVEN BRIDGES PAIN SPECIALISTS LLC

Laboratory Demographics

CLIA Number: 10D2285417

Facility Name: SEVEN BRIDGES PAIN SPECIALISTS LLC

Facility Address:
2023 MYRA STREET
JACKSONVILLE, FL
ZIP 32204
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Facility Phone Number: 904 503-5464

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386334944

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	10D2285417
LAB Type	Physician Office
Facility Name	SEVEN BRIDGES PAIN SPECIALISTS LLC
Street	2023 MYRA STREET
City	JACKSONVILLE
State	FL
ZIP	32204
Phone	904 503-5464
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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