31D2312424 CLIA NUMBER - PREMIER BRAIN AND SPINE LLC

Laboratory Demographics

  • CLIA Code: 31D2312424
  • Facility Name: PREMIER BRAIN AND SPINE LLC
  • Facility Address: 922 MAIN ST SUITE 201
    PATERSON, NJ
    ZIP 07503
  • Facility Phone: (973) 604-3419
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KUMUDINI MEHTA
  • NPI Number: 1427771419
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2312424
LAB Type Physician Office
Facility Name PREMIER BRAIN AND SPINE LLC
Street 922 MAIN ST SUITE 201
City PATERSON
State NJ
ZIP 07503
Phone 9736043419
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: 5/18/2026