19D2095128 CLIA NUMBER - LOUISIANA PAIN SPECIALISTS

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Laboratory Demographics

CLIA Number: 19D2095128

Facility Name: LOUISIANA PAIN SPECIALISTS

Facility Address:
5620 READ BLVD, 2ND FLOOR (NOE)
NEW ORLEANS, LA
ZIP 70127
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Facility Phone Number: 504 267-1185

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407241649

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2095128
LAB Type	Physician Office
Facility Name	LOUISIANA PAIN SPECIALISTS
Street	5620 READ BLVD, 2ND FLOOR (NOE)
City	NEW ORLEANS
State	LA
ZIP	70127
Phone	504 267-1185
CertificateType	4
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	Waiver

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