44D2035841 CLIA NUMBER - TENNESSEE BRAIN AND SPINE PLC

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Laboratory Demographics

CLIA Number: 44D2035841

Facility Name: TENNESSEE BRAIN AND SPINE PLC

Facility Address:
330 22ND AVE N
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 327-1515

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457824591

Taxonomy: 2085R0001X - Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

CLIA Record

Field Name	Field Value
CLIA Number	44D2035841
LAB Type	Physician Office
Facility Name	TENNESSEE BRAIN AND SPINE PLC
Street	330 22ND AVE N
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 327-1515
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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