31D2312391 CLIA NUMBER - PREMIER BRAIN AND SPINE LLC

Laboratory Demographics

  • CLIA Code: 31D2312391
  • Facility Name: PREMIER BRAIN AND SPINE LLC
  • Facility Address: 10 PARSONAGE RD SUITE 208
    EDISON, NJ
    ZIP 08837
  • Facility Phone: 732 258-0190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KUMUDINI MEHTA
  • NPI Number: 1972226181
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2312391
LAB Type Physician Office
Facility Name PREMIER BRAIN AND SPINE LLC
Street 10 PARSONAGE RD SUITE 208
City EDISON
State NJ
ZIP 08837
Phone 732 258-0190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DR. KUMUDINI MEHTA

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This page was last updated on: 9/29/2025