11D2023803 CLIA NUMBER - ADVANCE PAIN MANAGEMENT, LLC

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Laboratory Demographics

CLIA Number: 11D2023803

Facility Name: ADVANCE PAIN MANAGEMENT, LLC

Facility Address:
2950 STONE HOGAN CONNECTOR, BLDG A, STE B
ATLANTA, GA
ZIP 30331
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Facility Phone Number: 912 342-2443

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1548641681

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	11D2023803
LAB Type	Physician Office
Facility Name	ADVANCE PAIN MANAGEMENT, LLC
Street	2950 STONE HOGAN CONNECTOR, BLDG A, STE B
City	ATLANTA
State	GA
ZIP	30331
Phone	912 342-2443
CertificateType	2
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Compliance

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