18D2163683 CLIA NUMBER - ATLAS PAIN AND SPINE

Laboratory Demographics

CLIA Number: 18D2163683

Facility Name: ATLAS PAIN AND SPINE

Facility Address:
1 TRILLIUM WAY STE 111
CORBIN, KY
ZIP 40701
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Facility Phone Number: 859 268-1030

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487112843

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	18D2163683
LAB Type	Physician Office
Facility Name	ATLAS PAIN AND SPINE
Street	1 TRILLIUM WAY STE 111
City	CORBIN
State	KY
ZIP	40701
Phone	859 268-1030
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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