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15D2145773 CLIA NUMBER - COMMUNITY CARE NETWORK - ID HOBART

Laboratory Demographics

CLIA Number: 15D2145773

Facility Name: COMMUNITY CARE NETWORK - ID HOBART

Facility Address:
1400 S LAKE PARK AVE SUITE 304
HOBART, IN
ZIP 46342
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Facility Phone Number: 219 947-6638

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689000705

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 15D2145773
LAB Type Physician Office
Facility Name COMMUNITY CARE NETWORK - ID HOBART
Street 1400 S LAKE PARK AVE SUITE 304
City HOBART
State IN
ZIP 46342
Phone 219 947-6638
CertificateType 4
CertificateEffectiveDate 3/15/2024
CertificateExpirationDate 3/14/2026
FacilityType Waiver

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