45D2040931 CLIA NUMBER - BACK PAIN INTERVENTIONS ASSOCIATED, PA

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Laboratory Demographics

CLIA Number: 45D2040931

Facility Name: BACK PAIN INTERVENTIONS ASSOCIATED, PA

Facility Address:
1111 HWY 6 SUITE 122
SUGAR LAND, TX
ZIP 77478
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Facility Phone Number: 281 494-6900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841463585

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	45D2040931
LAB Type	Physician Office
Facility Name	BACK PAIN INTERVENTIONS ASSOCIATED, PA
Street	1111 HWY 6 SUITE 122
City	SUGAR LAND
State	TX
ZIP	77478
Phone	281 494-6900
CertificateType	4
CertificateEffectiveDate	5/11/2022
CertificateExpirationDate	5/10/2024
FacilityType	Waiver

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