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13D2015704 CLIA NUMBER - SPINE & PHYSICAL MEDICINE

Laboratory Demographics

CLIA Number: 13D2015704

Facility Name: SPINE & PHYSICAL MEDICINE

Facility Address:
2690 S EAGLE RD #150
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 401-1000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1699973701

Taxonomy: 208100000X - Physical Medicine & Rehabilitation
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

CLIA Record

Field Name Field Value
CLIA Number 13D2015704
LAB Type Physician Office
Facility Name SPINE & PHYSICAL MEDICINE
Street 2690 S EAGLE RD #150
City MERIDIAN
State ID
ZIP 83642
Phone 208 401-1000
CertificateType 4
CertificateEffectiveDate 11/2/2022
CertificateExpirationDate 11/1/2024
FacilityType Waiver

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