18D2161650 CLIA NUMBER - PAIN MANAGEMENT CENTERS OF AMERICA, PSC

Laboratory Demographics

CLIA Number: 18D2161650

Facility Name: PAIN MANAGEMENT CENTERS OF AMERICA, PSC

Facility Address:
112 KEETON DR
HOPKINSVILLE, KY
ZIP 42240
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Facility Phone Number: 270 881-4150

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326510181

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	18D2161650
LAB Type	Physician Office
Facility Name	PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Street	112 KEETON DR
City	HOPKINSVILLE
State	KY
ZIP	42240
Phone	270 881-4150
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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