18D2287100 CLIA NUMBER - RESTORATIVE PAIN INSTITUTE

Laboratory Demographics

CLIA Number: 18D2287100

Facility Name: RESTORATIVE PAIN INSTITUTE

Facility Address:
4201 SPRINGHURST BLVD, SUITE 102
LOUISVILLE, KY
ZIP 40241
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Facility Phone Number: 502 352-2530

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1952174732

Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

CLIA Record

Field Name	Field Value
CLIA Number	18D2287100
LAB Type	Physician Office
Facility Name	RESTORATIVE PAIN INSTITUTE
Street	4201 SPRINGHURST BLVD, SUITE 102
City	LOUISVILLE
State	KY
ZIP	40241
Phone	502 352-2530
CertificateType	2
CertificateEffectiveDate	8/9/2023
CertificateExpirationDate	8/8/2025
FacilityType	Compliance

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