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25D1096988 CLIA NUMBER - NEWSOUTH NEUROSPINE LLC

Laboratory Demographics

CLIA Number: 25D1096988

Facility Name: NEWSOUTH NEUROSPINE LLC

Facility Address:
2470 FLOWOOD DR STE 2300
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 420-2025

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1326222548

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 25D1096988
LAB Type Physician Office
Facility Name NEWSOUTH NEUROSPINE LLC
Street 2470 FLOWOOD DR STE 2300
City FLOWOOD
State MS
ZIP 39232
Phone 601 420-2025
CertificateType 2
CertificateEffectiveDate 9/2/2022
CertificateExpirationDate 9/1/2024
FacilityType Compliance

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