31D2073950 CLIA NUMBER - PAIN AND DISABILITY INSTITUTE PC

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Laboratory Demographics

CLIA Number: 31D2073950

Facility Name: PAIN AND DISABILITY INSTITUTE PC

Facility Address:
191 PALISADE AVENUE
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 656-4324

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841536026

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	31D2073950
LAB Type	Physician Office
Facility Name	PAIN AND DISABILITY INSTITUTE PC
Street	191 PALISADE AVENUE
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 656-4324
CertificateType	4
CertificateEffectiveDate	2/26/2024
CertificateExpirationDate	2/25/2026
FacilityType	Waiver

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