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11D2143814 CLIA NUMBER - ATLANTA SPINE SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 11D2143814

Facility Name: ATLANTA SPINE SURGERY CENTER, LLC

Facility Address:
60 PEACHTREE PARK DRIVE, NE
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 678 369-6934

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1598319766

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 11D2143814
LAB Type Ambulatory Surgery Center
Facility Name ATLANTA SPINE SURGERY CENTER, LLC
Street 60 PEACHTREE PARK DRIVE, NE
City ATLANTA
State GA
ZIP 30309
Phone 678 369-6934
CertificateType 4
CertificateEffectiveDate 2/6/2024
CertificateExpirationDate 2/5/2026
FacilityType Waiver

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