44D1089469 CLIA NUMBER - TENNESSEE PHYSICAL MEDICINE AND PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 44D1089469
  • Facility Name: TENNESSEE PHYSICAL MEDICINE AND PAIN MANAGEMENT
  • Facility Address: 1423 BADDOUR PARKWAY
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 257-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: T SCOTT BAKER MD
  • NPI Number: 1023109105
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 44D1089469
LAB Type Physician Office
Facility Name TENNESSEE PHYSICAL MEDICINE AND PAIN MANAGEMENT
Street 1423 BADDOUR PARKWAY
City LEBANON
State TN
ZIP 37087
Phone 615 257-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director T SCOTT BAKER MD

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