15D2213763 CLIA NUMBER - INDIANA SPINE GROUP

Laboratory Demographics

  • CLIA Code: 15D2213763
  • Facility Name: INDIANA SPINE GROUP
  • Facility Address: 13225 N MERIDIAN STREET
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 228-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICK SASSO
  • NPI Number: 1508220633
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 15D2213763
LAB Type Physician Office
Facility Name INDIANA SPINE GROUP
Street 13225 N MERIDIAN STREET
City CARMEL
State IN
ZIP 46032
Phone 317 228-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director RICK SASSO

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