36D2163113 CLIA NUMBER - CENTER FOR SURGICAL DERMATOLOGY, INC

Laboratory Demographics

CLIA Number: 36D2163113

Facility Name: CENTER FOR SURGICAL DERMATOLOGY, INC

Facility Address:
235 WEST SCHROCK ROAD
WESTERVILLE, OH
ZIP 43081
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Facility Phone Number: (614) 895-0400

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1417240615

Taxonomy: 103G00000X - Clinical Neuropsychologist
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

CLIA Record

Field Name	Field Value
CLIA Number	36D2163113
LAB Type	PHYSICIAN OFFICE
Facility Name	CENTER FOR SURGICAL DERMATOLOGY, INC
Street	235 WEST SCHROCK ROAD
City	WESTERVILLE
State	OH
ZIP	43081
Phone	(614) 895-0400

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This page was last updated on: 5/11/2023