44D2147273 CLIA NUMBER - SPECTRUM PAIN CLINIC

Laboratory Demographics

CLIA Number: 44D2147273

Facility Name: SPECTRUM PAIN CLINIC

Facility Address:
8132 CORDOVA ROAD
CORDOVA, TN
ZIP 38016
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Facility Phone Number: 901 405-6470

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326526930

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	44D2147273
LAB Type	Physician Office
Facility Name	SPECTRUM PAIN CLINIC
Street	8132 CORDOVA ROAD
City	CORDOVA
State	TN
ZIP	38016
Phone	901 405-6470
CertificateType	4
CertificateEffectiveDate	4/17/2024
CertificateExpirationDate	4/16/2026
FacilityType	Waiver

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