42D1095958 CLIA NUMBER - PIEDMONT COMPREHENSIVE PAIN MGMT GROUP, LLC

Laboratory Demographics

CLIA Number: 42D1095958

Facility Name: PIEDMONT COMPREHENSIVE PAIN MGMT GROUP, LLC

Facility Address:
100 HEALTHY WAY, STE 1260
ANDERSON, SC
ZIP 29621
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Facility Phone Number: 864 225-3551

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1609815562

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	42D1095958
LAB Type	Physician Office
Facility Name	PIEDMONT COMPREHENSIVE PAIN MGMT GROUP, LLC
Street	100 HEALTHY WAY, STE 1260
City	ANDERSON
State	SC
ZIP	29621
Phone	864 225-3551
CertificateType	1
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Accreditation

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