INTERVENTIONAL PAIN CONSULTANTS - NPI 1861190779 - Durable Medical Equipment & Medical Supplies in Cleveland, TN

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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About Interventional Pain Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL PAIN CONSULTANTS (NPI 1861190779) is a healthcare organization registered as a durable medical equipment & medical supplies in Cleveland, Tennessee and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Kari Widdifield, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1861190779

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameINTERVENTIONAL PAIN CONSULTANTS

Location Address2550 BUSINESS PARK DR NECleveland, TN 37311-6503

Mailing AddressPo Box 2070Cleveland, TN 37320-2070 · (423) 339-9581

Phone(423) 339-9581

Organization SubpartNo

Authorized OfficialKari WiddifieldPractice Administrator · (423) 339-9581

Enumeration DateFebruary 20, 2023

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedMarch 22, 2024

✔ NPI 1861190779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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 home and that are usable for an extended period of time.

2550 BUSINESS PARK DR NE, Cleveland, TN 37311

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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2288797

Interventional Pain Consultants · Dalton, GA

Active · expires Aug 30, 2027

CLIA Number11D2288797

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2025

Certificate Expiration DateAugust 30, 2027

Laboratory DirectorJoshua L. Hare

Laboratory Phone(423) 339-9581

Laboratory LocationInterventional Pain Consultants1500 Dug Gap Road, Dalton, GA 30720

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2306062

Interventional Pain Consultants · Cleveland, TN

Expired · Jun 10, 2026

CLIA Number44D2306062

Laboratory TypePhysician Office

Certificate Effective DateJune 11, 2024

Certificate Expiration DateJune 10, 2026

Laboratory DirectorJoshua Hare

Laboratory Phone(423) 339-9581

Laboratory LocationInterventional Pain Consultants2550 Business Park Dr NE, Cleveland, TN 37311

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRENDA A SNOWMAN MD

Obstetrics & Gynecology