52D1090961 CLIA NUMBER - INTEGRATIVE PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 52D1090961
  • Facility Name: INTEGRATIVE PAIN MANAGEMENT
  • Facility Address: 510 DOCTORS COURT
    OSHKOSH, WI
    ZIP 54901
  • Facility Phone: 920 230-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN JOSEPH, MD
  • NPI Number: 1558421560
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 52D1090961
LAB Type Physician Office
Facility Name INTEGRATIVE PAIN MANAGEMENT
Street 510 DOCTORS COURT
City OSHKOSH
State WI
ZIP 54901
Phone 920 230-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director JOHN JOSEPH, MD

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This page was last updated on: 9/29/2025