21D1097511 CLIA NUMBER - COMPREHENSIVE PAIN CENTER

Laboratory Demographics

CLIA Number: 21D1097511

Facility Name: COMPREHENSIVE PAIN CENTER

Facility Address:
10710 CHARTER DR STE 240
COLUMBIA, MD
ZIP 21044
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Facility Phone Number: 410 997-7246

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1306213186

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	21D1097511
LAB Type	Physician Office
Facility Name	COMPREHENSIVE PAIN CENTER
Street	10710 CHARTER DR STE 240
City	COLUMBIA
State	MD
ZIP	21044
Phone	410 997-7246
CertificateType	1
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Accreditation

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