29D1107724 CLIA NUMBER - DESERT INSTITUE OF SPINE CARE

Laboratory Demographics

CLIA Number: 29D1107724

Facility Name: DESERT INSTITUE OF SPINE CARE

Facility Address:
9339 W SUNSET RD STE 100
LAS VEGAS, NV
ZIP 89148
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Facility Phone Number: 702 630-3472

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164692802

Taxonomy: 207XS0117X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

CLIA Record

Field Name	Field Value
CLIA Number	29D1107724
LAB Type	Physician Office
Facility Name	DESERT INSTITUE OF SPINE CARE
Street	9339 W SUNSET RD STE 100
City	LAS VEGAS
State	NV
ZIP	89148
Phone	702 630-3472
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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