45D1088425 CLIA NUMBER - PAIN MANAGEMENT ASSOCIATES

Laboratory Demographics

CLIA Number: 45D1088425

Facility Name: PAIN MANAGEMENT ASSOCIATES

Facility Address:
10905 QUAKER AVE
LUBBOCK, TX
ZIP 79424
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Facility Phone Number: 806 796-7246

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629198296

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	45D1088425
LAB Type	Physician Office
Facility Name	PAIN MANAGEMENT ASSOCIATES
Street	10905 QUAKER AVE
City	LUBBOCK
State	TX
ZIP	79424
Phone	806 796-7246
CertificateType	4
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	Waiver

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