15D2066048 CLIA NUMBER - SUMMIT PAIN MANAGEMENT

Laboratory Demographics

CLIA Number: 15D2066048

Facility Name: SUMMIT PAIN MANAGEMENT

Facility Address:
1721 MAGNAVOX WAY SUITE B
FORT WAYNE, IN
ZIP 46804
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Facility Phone Number: 260 748-3650

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1184976136

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 15D2066048
LAB Type Physician Office
Facility Name SUMMIT PAIN MANAGEMENT
Street 1721 MAGNAVOX WAY SUITE B
City FORT WAYNE
State IN
ZIP 46804
Phone 260 748-3650
CertificateType 2
CertificateEffectiveDate 1/16/2024
CertificateExpirationDate 1/15/2026
FacilityType Compliance

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