04D0908978 CLIA NUMBER - MERCY CLINIC UROLOGY PINNACLE HILLS PKWY

Laboratory Demographics

CLIA Number: 04D0908978

Facility Name: MERCY CLINIC UROLOGY PINNACLE HILLS PKWY

Facility Address:
3333 PINNACLE HILLS PARKWAY SUITE 300A
ROGERS, AR
ZIP 72758
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Facility Phone Number: 479 338-3973

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538325931

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name	Field Value
CLIA Number	04D0908978
LAB Type	Physician Office
Facility Name	MERCY CLINIC UROLOGY PINNACLE HILLS PKWY
Street	3333 PINNACLE HILLS PARKWAY SUITE 300A
City	ROGERS
State	AR
ZIP	72758
Phone	479 338-3973
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

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