10D1084182 CLIA NUMBER - NEUROSCIENCE & SPINE ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1084182

Facility Name: NEUROSCIENCE & SPINE ASSOCIATES

Facility Address:
877 111TH AVE N, STE 1
NAPLES, FL
ZIP 34108
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Facility Phone Number: 239 649-8833

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003115825

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D1084182
LAB Type	Physician Office
Facility Name	NEUROSCIENCE & SPINE ASSOCIATES
Street	877 111TH AVE N, STE 1
City	NAPLES
State	FL
ZIP	34108
Phone	239 649-8833
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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