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14D2007992 CLIA NUMBER - INTERVENTIONAL PAIN MEDICINE LLC

Laboratory Demographics

CLIA Number: 14D2007992

Facility Name: INTERVENTIONAL PAIN MEDICINE LLC

Facility Address:
#1 BRONZE POINT, STE 1A
BELLEVILLE, IL
ZIP 62226
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Facility Phone Number: 618 233-7055

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1639332505

Taxonomy: 208VP0000X - Pain Medicine
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

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
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

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