23D2099954 CLIA NUMBER - AMERICAN PAIN & SPINE CENTER, PC

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Laboratory Demographics

CLIA Number: 23D2099954

Facility Name: AMERICAN PAIN & SPINE CENTER, PC

Facility Address:
3845 MONROE STREET
DEARBORN, MI
ZIP 48124
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Facility Phone Number: 313 586-4030

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487972766

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	23D2099954
LAB Type	Physician Office
Facility Name	AMERICAN PAIN & SPINE CENTER, PC
Street	3845 MONROE STREET
City	DEARBORN
State	MI
ZIP	48124
Phone	313 586-4030
CertificateType	4
CertificateEffectiveDate	8/5/2023
CertificateExpirationDate	8/4/2025
FacilityType	Waiver

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