WISCONSIN SPINE AND PAIN SC
NPI 1649098856
Durable Medical Equipment & Medical Supplies in Green Bay, WI
About Wisconsin Spine And Pain Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISCONSIN SPINE AND PAIN SC (NPI 1649098856) is a healthcare organization registered as a durable medical equipment & medical supplies in Green Bay, Wisconsin and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Michael Jung, Owner, as its authorized official.Information from the official NPPES registry record, last updated September 27, 2024.
NPPES Registry Identity
★ Primary Specialty
Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the… Show more
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2207665
- Facility Type
- Physician Office
- Certificate Effective Date
- December 30, 2024
- Certificate Expiration Date
- December 29, 2026
- Laboratory Director
- DR. RAYMOND S. SOHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wisconsin Spine And Pain Sc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649098856, enumerated as an "organization" on September 27, 2024.
The provider is located at 2595 DEVELOPMENT DRIVE, STE 150 GREEN BAY, WI 54311 and the phone number is (920) 204-6758.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
