12D2020639 CLIA NUMBER - ALOHA PAIN SPORTS AND SPINE MEDICINE LLC

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Laboratory Demographics

CLIA Number: 12D2020639

Facility Name: ALOHA PAIN SPORTS AND SPINE MEDICINE LLC

Facility Address:
407 ULUNIU ST STE 201
KAILUA, HI
ZIP 96734
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Facility Phone Number: 808 261-7246

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841522471

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	12D2020639
LAB Type	Physician Office
Facility Name	ALOHA PAIN SPORTS AND SPINE MEDICINE LLC
Street	407 ULUNIU ST STE 201
City	KAILUA
State	HI
ZIP	96734
Phone	808 261-7246
CertificateType	4
CertificateEffectiveDate	2/24/2023
CertificateExpirationDate	2/23/2025
FacilityType	Waiver

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