44D2155943 CLIA NUMBER - SOUTHERN PAIN AND REGENERATIVE MEDICINE PC

Laboratory Demographics

CLIA Number: 44D2155943

Facility Name: SOUTHERN PAIN AND REGENERATIVE MEDICINE PC

Facility Address:
5683 S REX ROAD
MEMPHIS, TN
ZIP 38119
Get Directions

Facility Phone Number: 901 350-0678

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841799707

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	44D2155943
LAB Type	Physician Office
Facility Name	SOUTHERN PAIN AND REGENERATIVE MEDICINE PC
Street	5683 S REX ROAD
City	MEMPHIS
State	TN
ZIP	38119
Phone	901 350-0678
CertificateType	4
CertificateEffectiveDate	10/9/2022
CertificateExpirationDate	10/8/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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