44D2094190 CLIA NUMBER - PREMIER RADIOLOGY PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 44D2094190
  • Facility Name: PREMIER RADIOLOGY PAIN MANAGEMENT CENTER
  • Facility Address: 28 WHITE BRIDGE RD, SUITE 111
    NASHVILLE, TN
    ZIP 37205
  • Facility Phone: 615 356-3999
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHLEE COLE
  • NPI Number: 1629434394
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2094190
LAB Type Ambulatory Surgery Center
Facility Name PREMIER RADIOLOGY PAIN MANAGEMENT CENTER
Street 28 WHITE BRIDGE RD, SUITE 111
City NASHVILLE
State TN
ZIP 37205
Phone 615 356-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Ambulatory Surgery Center
Lab Director ASHLEE COLE

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