44D2036251 CLIA NUMBER - PAIN CLINIC ASSOCIATES PLLC

Laboratory Demographics

CLIA Number: 44D2036251

Facility Name: PAIN CLINIC ASSOCIATES PLLC

Facility Address:
7600 AIRWAYS BLVD STE E
SOUTHAVEN, MS
ZIP 38671
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Facility Phone Number: 901 747-0040

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1033286513

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 44D2036251
LAB Type Physician Office
Facility Name PAIN CLINIC ASSOCIATES PLLC
Street 7600 AIRWAYS BLVD STE E
City SOUTHAVEN
State MS
ZIP 38671
Phone 901 747-0040
CertificateType 2
CertificateEffectiveDate 10/1/2023
CertificateExpirationDate 9/30/2025
FacilityType Compliance

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