14D2275918 CLIA NUMBER - NMG - BLOOMINGDALE SPINE CENTER

Laboratory Demographics

  • CLIA Code: 14D2275918
  • Facility Name: NMG - BLOOMINGDALE SPINE CENTER
  • Facility Address: 245 S GARY AVE - STE 100
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 933-4550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEHUL SEKHADIA
  • NPI Number: 1437271863
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2275918
LAB Type Physician Office
Facility Name NMG - BLOOMINGDALE SPINE CENTER
Street 245 S GARY AVE - STE 100
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 933-4550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director MEHUL SEKHADIA

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This page was last updated on: 9/29/2025