10D2086929 CLIA NUMBER - MARSHALL WEBSTER CHIROPRACTOR

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Laboratory Demographics

CLIA Number: 10D2086929

Facility Name: MARSHALL WEBSTER CHIROPRACTOR

Facility Address:
1478 SW SISTERS WELCOME RD
LAKE CITY, FL
ZIP 32025
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Facility Phone Number: (386) 719-5656

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1003000415

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	10D2086929
LAB Type	PHYSICIAN OFFICE
Facility Name	MARSHALL WEBSTER CHIROPRACTOR
Street	1478 SW SISTERS WELCOME RD
City	LAKE CITY
State	FL
ZIP	32025
Phone	(386) 719-5656

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This page was last updated on: 5/11/2023