26D2021687 CLIA NUMBER - AMERICAN PAIN MANAGEMENT AND REHAB LLC

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Laboratory Demographics

CLIA Number: 26D2021687

Facility Name: AMERICAN PAIN MANAGEMENT AND REHAB LLC

Facility Address:
7491 BIG BEND BLVD
SAINT LOUIS, MO
ZIP 63119
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Facility Phone Number: 314 961-3038

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285960963

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	26D2021687
LAB Type	Physician Office
Facility Name	AMERICAN PAIN MANAGEMENT AND REHAB LLC
Street	7491 BIG BEND BLVD
City	SAINT LOUIS
State	MO
ZIP	63119
Phone	314 961-3038
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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