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02D2242422 CLIA NUMBER - RUSSELL DEGROOTE MD, PC

Laboratory Demographics

CLIA Number: 02D2242422

Facility Name: RUSSELL DEGROOTE MD, PC

Facility Address:
7559 N TONGASS AVE
KETCHIKAN, AK
ZIP 99901
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Facility Phone Number: 907 247-9999

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689684771

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 02D2242422
LAB Type Physician Office
Facility Name RUSSELL DEGROOTE MD, PC
Street 7559 N TONGASS AVE
City KETCHIKAN
State AK
ZIP 99901
Phone 907 247-9999
CertificateType 4
CertificateEffectiveDate 11/8/2023
CertificateExpirationDate 11/7/2025
FacilityType Waiver

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