44D2220668 CLIA NUMBER - IAC ASSOCIATES PLLC DBA VERTAVA HEALTH OUTPATIENT-MIDTOWN NASHVILLE

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Laboratory Demographics

CLIA Number: 44D2220668

Facility Name: IAC ASSOCIATES PLLC DBA VERTAVA HEALTH OUTPATIENT-MIDTOWN NASHVILLE

Facility Address:
2201 MURPHY AVE, SUITE 302
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 491-5830

Facility Type: Other - BEHAVIORAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1487126272

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	44D2220668
LAB Type	Other - BEHAVIORAL HEALTH CLINIC
Facility Name	IAC ASSOCIATES PLLC DBA VERTAVA HEALTH OUTPATIENT-MIDTOWN NASHVILLE
Street	2201 MURPHY AVE, SUITE 302
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 491-5830
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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