34D2047217 CLIA NUMBER - LEVINE CANCER INSTITUTE A FACILITY OF ATRIUM HEALTH

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Laboratory Demographics

CLIA Number: 34D2047217

Facility Name: LEVINE CANCER INSTITUTE A FACILITY OF ATRIUM HEALTH

Facility Address:
10660 PARK ROAD, SUITE2100
CHARLOTTE, NC
ZIP 28210
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Facility Phone Number: 980 442-9353

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1194090613

Taxonomy: 2086X0206X - Surgery
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

CLIA Record

Field Name	Field Value
CLIA Number	34D2047217
LAB Type	Physician Office
Facility Name	LEVINE CANCER INSTITUTE A FACILITY OF ATRIUM HEALTH
Street	10660 PARK ROAD, SUITE2100
City	CHARLOTTE
State	NC
ZIP	28210
Phone	980 442-9353
CertificateType	1
CertificateEffectiveDate	6/29/2022
CertificateExpirationDate	6/28/2024
FacilityType	Accreditation

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