34D1102022 CLIA NUMBER - ADVANCED SPINE AND PAIN CENTER

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Laboratory Demographics

CLIA Number: 34D1102022

Facility Name: ADVANCED SPINE AND PAIN CENTER

Facility Address:
204 MEDSPRING DR, SUITE 100
CLAYTON, NC
ZIP 27520
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Facility Phone Number: 919 894-1740

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1255799375

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	34D1102022
LAB Type	Physician Office
Facility Name	ADVANCED SPINE AND PAIN CENTER
Street	204 MEDSPRING DR, SUITE 100
City	CLAYTON
State	NC
ZIP	27520
Phone	919 894-1740
CertificateType	1
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Accreditation

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