26D1037449 CLIA NUMBER - MIDWEST BONE AND JOINT PC

Laboratory Demographics

CLIA Number: 26D1037449

Facility Name: MIDWEST BONE AND JOINT PC

Facility Address:
1706 PROSPECT DRIVE
MACON, MO
ZIP 63552
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Facility Phone Number: 660 385-1006

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437297967

Taxonomy: 207XS0114X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

CLIA Record

Field Name	Field Value
CLIA Number	26D1037449
LAB Type	Physician Office
Facility Name	MIDWEST BONE AND JOINT PC
Street	1706 PROSPECT DRIVE
City	MACON
State	MO
ZIP	63552
Phone	660 385-1006
CertificateType	4
CertificateEffectiveDate	2/24/2023
CertificateExpirationDate	2/23/2025
FacilityType	Waiver

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