33D2182292 CLIA NUMBER - INTEGRATED INTERVENTIONAL PAIN MANAGEMENT PC

Laboratory Demographics

  • CLIA Code: 33D2182292
  • Facility Name: INTEGRATED INTERVENTIONAL PAIN MANAGEMENT PC
  • Facility Address: 207-12 NORTHERN BLVD 3RD FLOOR
    BAYSIDE, NY
    ZIP 11361
  • Facility Phone: 718 307-9905
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARISTIDE BURDUCEA
  • NPI Number: 1164918835
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2182292
LAB Type Physician Office
Facility Name INTEGRATED INTERVENTIONAL PAIN MANAGEMENT PC
Street 207-12 NORTHERN BLVD 3RD FLOOR
City BAYSIDE
State NY
ZIP 11361
Phone 718 307-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director DR. ARISTIDE BURDUCEA

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