49D1092086 CLIA NUMBER - BLUE RIDGE PAIN MANAGEMENT ASSOCIATES, PC

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Laboratory Demographics

CLIA Number: 49D1092086

Facility Name: BLUE RIDGE PAIN MANAGEMENT ASSOCIATES, PC

Facility Address:
1101 1ST ST SW
ROANOKE, VA
ZIP 24016
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Facility Phone Number: 540 444-5670

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1679717151

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	49D1092086
LAB Type	Physician Office
Facility Name	BLUE RIDGE PAIN MANAGEMENT ASSOCIATES, PC
Street	1101 1ST ST SW
City	ROANOKE
State	VA
ZIP	24016
Phone	540 444-5670
CertificateType	1
CertificateEffectiveDate	11/20/2023
CertificateExpirationDate	11/19/2025
FacilityType	Accreditation

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