10D0871808 CLIA NUMBER - JOSEPH J KATTA MD PA

Laboratory Demographics

CLIA Number: 10D0871808

Facility Name: JOSEPH J KATTA MD PA

Facility Address:
1900 NEBRASKA AVENUE #5
FORT PIERCE, FL
ZIP 34950
Get Directions

Facility Phone Number: 561 466-7200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912905084

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D0871808
LAB Type	Physician Office
Facility Name	JOSEPH J KATTA MD PA
Street	1900 NEBRASKA AVENUE #5
City	FORT PIERCE
State	FL
ZIP	34950
Phone	561 466-7200
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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