44D2125451 CLIA NUMBER - INTERVENTIONAL PAIN CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 44D2125451
  • Facility Name: INTERVENTIONAL PAIN CENTER, PLLC
  • Facility Address: 3443 DICKERSON PIKE STE 730
    NASHVILLE, TN
    ZIP 37207
  • Facility Phone: 615 972-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRAD P. WILSON
  • NPI Number: 1083154819
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 44D2125451
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN CENTER, PLLC
Street 3443 DICKERSON PIKE STE 730
City NASHVILLE
State TN
ZIP 37207
Phone 615 972-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director DR. BRAD P. WILSON

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