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31D2133812 CLIA NUMBER - ATLANTIC HEALTH CHINDREN'S SPECIALTYAT OVERLOOK

Laboratory Demographics

CLIA Number: 31D2133812

Facility Name: ATLANTIC HEALTH CHINDREN'S SPECIALTYAT OVERLOOK

Facility Address:
11 OVERLOOK ROAD, MAC II SUITE 230
SUMMIT, NJ
ZIP 07901
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Facility Phone Number: 908 522-2750

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689878126

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 31D2133812
LAB Type Physician Office
Facility Name ATLANTIC HEALTH CHINDREN'S SPECIALTYAT OVERLOOK
Street 11 OVERLOOK ROAD, MAC II SUITE 230
City SUMMIT
State NJ
ZIP 07901
Phone 908 522-2750
CertificateType 4
CertificateEffectiveDate 7/20/2023
CertificateExpirationDate 7/19/2025
FacilityType Waiver

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