21D2186367 CLIA NUMBER - MIN CHIROPRACTIC & REHABILITATION LLC

Laboratory Demographics

CLIA Number: 21D2186367

Facility Name: MIN CHIROPRACTIC & REHABILITATION LLC

Facility Address:
2000 VEIRS MILL ROAD STE A
ROCKVILLE, MD
ZIP 20851
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Facility Phone Number: 301 279-6960

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1346644994

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	21D2186367
LAB Type	Practitioner Other
Facility Name	MIN CHIROPRACTIC & REHABILITATION LLC
Street	2000 VEIRS MILL ROAD STE A
City	ROCKVILLE
State	MD
ZIP	20851
Phone	301 279-6960
CertificateType	4
CertificateEffectiveDate	6/16/2022
CertificateExpirationDate	6/15/2024
FacilityType	Waiver

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