26D2082447 CLIA NUMBER - INTERVENTIONAL PAIN MANAGEMENT SERVICES

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Laboratory Demographics

CLIA Number: 26D2082447

Facility Name: INTERVENTIONAL PAIN MANAGEMENT SERVICES

Facility Address:
2730 S ST PETERS PKWY, SUITE 200
SAINT PETERS, MO
ZIP 63303
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Facility Phone Number: 314 830-2600

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1710018247

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	26D2082447
LAB Type	Physician Office
Facility Name	INTERVENTIONAL PAIN MANAGEMENT SERVICES
Street	2730 S ST PETERS PKWY, SUITE 200
City	SAINT PETERS
State	MO
ZIP	63303
Phone	314 830-2600
CertificateType	2
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Compliance

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