44D2202912 CLIA NUMBER - VERACITY NEUROSCIENCE LLC

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Laboratory Demographics

CLIA Number: 44D2202912

Facility Name: VERACITY NEUROSCIENCE LLC

Facility Address:
5050 POPLAR AVENUE SUITE 511
MEMPHIS, TN
ZIP 38157
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Facility Phone Number: 901 443-9170

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912565946

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	44D2202912
LAB Type	Physician Office
Facility Name	VERACITY NEUROSCIENCE LLC
Street	5050 POPLAR AVENUE SUITE 511
City	MEMPHIS
State	TN
ZIP	38157
Phone	901 443-9170
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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