15D1002028 CLIA NUMBER - CENTER FOR PAIN MANAGEMENT

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Laboratory Demographics

CLIA Number: 15D1002028

Facility Name: CENTER FOR PAIN MANAGEMENT

Facility Address:
8805 N MERIDIAN ST
INDIANAPOLIS, IN
ZIP 46260
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Facility Phone Number: 317 509-7457

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1477673838

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D1002028
LAB Type	Physician Office
Facility Name	CENTER FOR PAIN MANAGEMENT
Street	8805 N MERIDIAN ST
City	INDIANAPOLIS
State	IN
ZIP	46260
Phone	317 509-7457
CertificateType	1
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Accreditation

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