15D2010343 CLIA NUMBER - MIDWEST INTERVENTIONAL SPINE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 15D2010343
  • Facility Name: MIDWEST INTERVENTIONAL SPINE SPECIALISTS
  • Facility Address: 8840 CALUMET AVE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATISH DASARI
  • NPI Number: 1962401745
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2010343
LAB Type Physician Office
Facility Name MIDWEST INTERVENTIONAL SPINE SPECIALISTS
Street 8840 CALUMET AVE
City MUNSTER
State IN
ZIP 46321
Phone 219 836-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director SATISH DASARI

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