18D1047482 CLIA NUMBER - PAIN MANAGEMENT CONSULTANTS

Laboratory Demographics

  • CLIA Code: 18D1047482
  • Facility Name: PAIN MANAGEMENT CONSULTANTS
  • Facility Address: 1169 EASTERN PARKWAY, SUITE 2211
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: 502 635-2775
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JEFFERY BERG, MD
  • NPI Number: 1780745596
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1047482
LAB Type Other
Facility Name PAIN MANAGEMENT CONSULTANTS
Street 1169 EASTERN PARKWAY, SUITE 2211
City LOUISVILLE
State KY
ZIP 40217
Phone 502 635-2775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Other
Lab Director JEFFERY BERG, MD

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