44D2121168 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING PC DBA THE PAIN MANAGEMENT GROUP

Laboratory Demographics

  • CLIA Code: 44D2121168
  • Facility Name: ADVANCED DIAGNOSTIC IMAGING PC DBA THE PAIN MANAGEMENT GROUP
  • Facility Address: 40 WEST CALDWELL STREET STE 200
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 941-8501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRADLEY HILL
  • NPI Number: 1730321068
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2121168
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC IMAGING PC DBA THE PAIN MANAGEMENT GROUP
Street 40 WEST CALDWELL STREET STE 200
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 941-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. BRADLEY HILL

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