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15D2158236 CLIA NUMBER - COMMUNITY CARE NETWORK, INC

Laboratory Demographics

CLIA Number: 15D2158236

Facility Name: COMMUNITY CARE NETWORK, INC

Facility Address:
10240 CALUMET AVE
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 219 703-2420

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720063746

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 15D2158236
LAB Type Physician Office
Facility Name COMMUNITY CARE NETWORK, INC
Street 10240 CALUMET AVE
City MUNSTER
State IN
ZIP 46321
Phone 219 703-2420
CertificateType 4
CertificateEffectiveDate 11/26/2022
CertificateExpirationDate 11/25/2024
FacilityType Waiver

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