22D2129721 CLIA NUMBER - BLUE HILL PAIN CARE PLLC

Laboratory Demographics

CLIA Number: 22D2129721

Facility Name: BLUE HILL PAIN CARE PLLC

Facility Address:
639 GRANITE STREET SUITE 215
BRAINTREE, MA
ZIP 02184
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Facility Phone Number: 781 817-5383

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861823783

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	22D2129721
LAB Type	Physician Office
Facility Name	BLUE HILL PAIN CARE PLLC
Street	639 GRANITE STREET SUITE 215
City	BRAINTREE
State	MA
ZIP	02184
Phone	781 817-5383
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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