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15D2290852 CLIA NUMBER - COMMUNITY CARE NETWORK, INC

Laboratory Demographics

CLIA Number: 15D2290852

Facility Name: COMMUNITY CARE NETWORK, INC

Facility Address:
1354 S LAKE PARK AVE, STE B
HOBART, IN
ZIP 46342
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Facility Phone Number: 219 945-4495

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598070617

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 15D2290852
LAB Type Physician Office
Facility Name COMMUNITY CARE NETWORK, INC
Street 1354 S LAKE PARK AVE, STE B
City HOBART
State IN
ZIP 46342
Phone 219 945-4495
CertificateType 4
CertificateEffectiveDate 10/2/2023
CertificateExpirationDate 10/1/2025
FacilityType Waiver

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