34D0992760 CLIA NUMBER - DALJIT BUTTAR MD PC

Laboratory Demographics

CLIA Number: 34D0992760

Facility Name: DALJIT BUTTAR MD PC

Facility Address:
4201 LAKE BOONE TRL STE 100
RALEIGH, NC
ZIP 27607
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Facility Phone Number: 919 510-0688

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295884740

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	34D0992760
LAB Type	Physician Office
Facility Name	DALJIT BUTTAR MD PC
Street	4201 LAKE BOONE TRL STE 100
City	RALEIGH
State	NC
ZIP	27607
Phone	919 510-0688
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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