11D2221358 CLIA NUMBER - INTERVENTIONAL PAIN INSTITUTE LLC

Laboratory Demographics

CLIA Number: 11D2221358

Facility Name: INTERVENTIONAL PAIN INSTITUTE LLC

Facility Address:
3200 GILLIONVILLE ROAD
ALBANY, GA
ZIP 31721
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Facility Phone Number: 229 405-2470

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508444837

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	11D2221358
LAB Type	Physician Office
Facility Name	INTERVENTIONAL PAIN INSTITUTE LLC
Street	3200 GILLIONVILLE ROAD
City	ALBANY
State	GA
ZIP	31721
Phone	229 405-2470
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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