14D2007992 CLIA NUMBER - INTERVENTIONAL PAIN MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 14D2007992
  • Facility Name: INTERVENTIONAL PAIN MEDICINE LLC
  • Facility Address: #1 BRONZE POINT, STE 1A
    BELLEVILLE, IL
    ZIP 62226
  • Facility Phone: 618 233-7055
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: NAHEED BASHIR MD
  • NPI Number: 1639332505
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2007992
LAB Type Independent
Facility Name INTERVENTIONAL PAIN MEDICINE LLC
Street #1 BRONZE POINT, STE 1A
City BELLEVILLE
State IL
ZIP 62226
Phone 618 233-7055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Independent
Lab Director NAHEED BASHIR MD

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This page was last updated on: 9/29/2025