13D2031665 CLIA NUMBER - IDAHO PHYSICAL MEDICINE & REHABILITATION

Laboratory Demographics

CLIA Number: 13D2031665

Facility Name: IDAHO PHYSICAL MEDICINE & REHABILITATION

Facility Address:
161 E MALLARD DR STE 120
BOISE, ID
ZIP 83706
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Facility Phone Number: 208 884-1333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497711329

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 13D2031665
LAB Type Physician Office
Facility Name IDAHO PHYSICAL MEDICINE & REHABILITATION
Street 161 E MALLARD DR STE 120
City BOISE
State ID
ZIP 83706
Phone 208 884-1333
CertificateType 4
CertificateEffectiveDate 10/25/2023
CertificateExpirationDate 10/24/2025
FacilityType Waiver

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