25D1089525 CLIA NUMBER - METHODIST PAIN MANAGEMENT

Laboratory Demographics

CLIA Number: 25D1089525

Facility Name: METHODIST PAIN MANAGEMENT

Facility Address:
1 LAYFAIR DR STE 400
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 932-0238

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1407098536

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	25D1089525
LAB Type	Ambulatory Surgery Center
Facility Name	METHODIST PAIN MANAGEMENT
Street	1 LAYFAIR DR STE 400
City	FLOWOOD
State	MS
ZIP	39232
Phone	601 932-0238
CertificateType	4
CertificateEffectiveDate	9/19/2022
CertificateExpirationDate	9/18/2024
FacilityType	Waiver

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