01D1065423 CLIA NUMBER - AMERICAN BACK INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 01D1065423

Facility Name: AMERICAN BACK INSTITUTE, LLC

Facility Address:
3001 MCCLELLAN BLVD
ANNISTON, AL
ZIP 36201
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Facility Phone Number: 256 237-9423

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619236833

Taxonomy: 111NI0013X - Chiropractor
A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

CLIA Record

Field Name	Field Value
CLIA Number	01D1065423
LAB Type	Physician Office
Facility Name	AMERICAN BACK INSTITUTE, LLC
Street	3001 MCCLELLAN BLVD
City	ANNISTON
State	AL
ZIP	36201
Phone	256 237-9423
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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