10D2229457 CLIA NUMBER - NEUROLOGY ASSOCIATES OF STARKE

Laboratory Demographics

CLIA Number: 10D2229457

Facility Name: NEUROLOGY ASSOCIATES OF STARKE

Facility Address:
107-F EDWARDS RD
STARKE, FL
ZIP 32091
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Facility Phone Number: 904 368-8111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154689289

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	10D2229457
LAB Type	Physician Office
Facility Name	NEUROLOGY ASSOCIATES OF STARKE
Street	107-F EDWARDS RD
City	STARKE
State	FL
ZIP	32091
Phone	904 368-8111
CertificateType	4
CertificateEffectiveDate	7/13/2023
CertificateExpirationDate	7/12/2025
FacilityType	Waiver

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