44D2147272 CLIA NUMBER - ADVANCE DIAGNOSTIC IMAGING, PC DBA THE PAIN MANAGEMENT GROUP

Laboratory Demographics

  • CLIA Code: 44D2147272
  • Facility Name: ADVANCE DIAGNOSTIC IMAGING, PC DBA THE PAIN MANAGEMENT GROUP
  • Facility Address: 851 S WILLOW AVENUE SUITE 112
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 615 941-8501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRADLEY HILL
  • NPI Number: 1780279471
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D2147272
LAB Type Physician Office
Facility Name ADVANCE DIAGNOSTIC IMAGING, PC DBA THE PAIN MANAGEMENT GROUP
Street 851 S WILLOW AVENUE SUITE 112
City COOKEVILLE
State TN
ZIP 38501
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 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. BRADLEY HILL

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