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15D0978740 CLIA NUMBER - METHODIST PHY GRP-CARDIOVASCULAR KNOX

Laboratory Demographics

CLIA Number: 15D0978740

Facility Name: METHODIST PHY GRP-CARDIOVASCULAR KNOX

Facility Address:
502 CULVER ROAD
KNOX, IN
ZIP 46534
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Facility Phone Number: 574 772-6363

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518295948

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 15D0978740
LAB Type Physician Office
Facility Name METHODIST PHY GRP-CARDIOVASCULAR KNOX
Street 502 CULVER ROAD
City KNOX
State IN
ZIP 46534
Phone 574 772-6363
CertificateType 4
CertificateEffectiveDate 10/2/2022
CertificateExpirationDate 10/1/2024
FacilityType Waiver

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