31D2143205 CLIA NUMBER - ROTHMAN ORTHOPAEDIC INSTITUTE - HAMILTON

Laboratory Demographics

CLIA Number: 31D2143205

Facility Name: ROTHMAN ORTHOPAEDIC INSTITUTE - HAMILTON

Facility Address:
1079 WHITEHORSE MERCERVILLE RD
HAMILTON, NJ
ZIP 08610
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Facility Phone Number: 609 528-3700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770096471

Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

CLIA Record

Field Name	Field Value
CLIA Number	31D2143205
LAB Type	Physician Office
Facility Name	ROTHMAN ORTHOPAEDIC INSTITUTE - HAMILTON
Street	1079 WHITEHORSE MERCERVILLE RD
City	HAMILTON
State	NJ
ZIP	08610
Phone	609 528-3700
CertificateType	4
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Waiver

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