41D2007114 CLIA NUMBER - RI NEUROLOGY GROUP, INC

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Laboratory Demographics

CLIA Number: 41D2007114

Facility Name: RI NEUROLOGY GROUP, INC

Facility Address:
1065 MENDON ROAD
WOONSOCKET, RI
ZIP 02895
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Facility Phone Number: 401 762-0170

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821106063

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	41D2007114
LAB Type	Physician Office
Facility Name	RI NEUROLOGY GROUP, INC
Street	1065 MENDON ROAD
City	WOONSOCKET
State	RI
ZIP	02895
Phone	401 762-0170
CertificateType	4
CertificateEffectiveDate	10/28/2023
CertificateExpirationDate	10/27/2025
FacilityType	Waiver

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