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42D2189840 CLIA NUMBER - MUSC HEALTH AT TIDELANDS

Laboratory Demographics

CLIA Number: 42D2189840

Facility Name: MUSC HEALTH AT TIDELANDS

Facility Address:
4040 HIGHWAY 17 BYPASS SUITE 306
MURRELLS INLET, SC
ZIP 29576
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Facility Phone Number: 843 876-7125

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1265973051

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 42D2189840
LAB Type Physician Office
Facility Name MUSC HEALTH AT TIDELANDS
Street 4040 HIGHWAY 17 BYPASS SUITE 306
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 876-7125
CertificateType 3
CertificateEffectiveDate 8/6/2022
CertificateExpirationDate 8/5/2024
FacilityType PPMP

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