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10D2216605 CLIA NUMBER - MIAMI NEUROSCIENCE CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2216605

Facility Name: MIAMI NEUROSCIENCE CENTER, LLC

Facility Address:
6129 SW 70 STREET
SOUTH MIAMI, FL
ZIP 33143
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Facility Phone Number: 305 284-7540

Facility Type: Other - DIAGNOSTIC TESTING FACILI

Certificate Type: Waiver
NPI Number: 1073894101

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 10D2216605
LAB Type Other - DIAGNOSTIC TESTING FACILI
Facility Name MIAMI NEUROSCIENCE CENTER, LLC
Street 6129 SW 70 STREET
City SOUTH MIAMI
State FL
ZIP 33143
Phone 305 284-7540
CertificateType 4
CertificateEffectiveDate 3/15/2023
CertificateExpirationDate 3/14/2025
FacilityType Waiver

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