15D1049271 CLIA NUMBER - NEUROHEALTH LTD LLC DBA ALIVIO MEDICAL CENTER

Laboratory Demographics

CLIA Number: 15D1049271

Facility Name: NEUROHEALTH LTD LLC DBA ALIVIO MEDICAL CENTER

Facility Address:
2060 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN
ZIP 46219
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Facility Phone Number: 317 635-3499

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1598967309

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	15D1049271
LAB Type	Physician Office
Facility Name	NEUROHEALTH LTD LLC DBA ALIVIO MEDICAL CENTER
Street	2060 N SHADELAND AVE, STE 200
City	INDIANAPOLIS
State	IN
ZIP	46219
Phone	317 635-3499
CertificateType	3
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	PPMP

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