18D2283565 CLIA NUMBER - INTERVENTIONAL PAIN & SPINE SPECIALISTS, LLC

Laboratory Demographics

CLIA Number: 18D2283565

Facility Name: INTERVENTIONAL PAIN & SPINE SPECIALISTS, LLC

Facility Address:
2211 GREENE WAY, SUITE 201
LOUISVILLE, KY
ZIP 40220
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Facility Phone Number: 812 962-7894

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1639841844

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	18D2283565
LAB Type	Physician Office
Facility Name	INTERVENTIONAL PAIN & SPINE SPECIALISTS, LLC
Street	2211 GREENE WAY, SUITE 201
City	LOUISVILLE
State	KY
ZIP	40220
Phone	812 962-7894
CertificateType	2
CertificateEffectiveDate	6/9/2023
CertificateExpirationDate	6/8/2025
FacilityType	Compliance

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