15D2131725 CLIA NUMBER - INDIANA SPINE HOSPITAL, LLC

Laboratory Demographics

CLIA Number: 15D2131725

Facility Name: INDIANA SPINE HOSPITAL, LLC

Facility Address:
13219 N MERIDIAN ST
CARMEL, IN
ZIP 46032
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Facility Phone Number: 317 795-2022

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1609960046

Taxonomy: 207XS0117X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

CLIA Record

Field Name	Field Value
CLIA Number	15D2131725
LAB Type	Hospital
Facility Name	INDIANA SPINE HOSPITAL, LLC
Street	13219 N MERIDIAN ST
City	CARMEL
State	IN
ZIP	46032
Phone	317 795-2022
CertificateType	2
CertificateEffectiveDate	10/11/2023
CertificateExpirationDate	10/10/2025
FacilityType	Compliance

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