34D2185622 CLIA NUMBER - CAROLINA PAIN INSTITUTE

Laboratory Demographics

CLIA Number: 34D2185622

Facility Name: CAROLINA PAIN INSTITUTE

Facility Address:
131 PROVIDENCE ROAD, SUITE 201
CHARLOTTE, NC
ZIP 28207
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Facility Phone Number: 336 765-6181

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942547120

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	34D2185622
LAB Type	Physician Office
Facility Name	CAROLINA PAIN INSTITUTE
Street	131 PROVIDENCE ROAD, SUITE 201
City	CHARLOTTE
State	NC
ZIP	28207
Phone	336 765-6181
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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