23D2293265 CLIA NUMBER - INTEGRATIVE INTERVENTIONAL PHYSIATRY

Laboratory Demographics

  • CLIA Code: 23D2293265
  • Facility Name: INTEGRATIVE INTERVENTIONAL PHYSIATRY
  • Facility Address: 2545 CAPITAL AVE SW SUITE 201A
    BATTLE CREEK, MI
    ZIP 49015
  • Facility Phone: 269 883-2495
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO J. OTERO LOPERENA
  • NPI Number: 1154007201
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2293265
LAB Type Physician Office
Facility Name INTEGRATIVE INTERVENTIONAL PHYSIATRY
Street 2545 CAPITAL AVE SW SUITE 201A
City BATTLE CREEK
State MI
ZIP 49015
Phone 269 883-2495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director EDUARDO J. OTERO LOPERENA

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This page was last updated on: 9/29/2025