44D2259381 CLIA NUMBER - MUSIC CITY SURGERY CENTER

Laboratory Demographics

CLIA Number: 44D2259381

Facility Name: MUSIC CITY SURGERY CENTER

Facility Address:
520 RIVERGATE PARKWAY, SUITE 101
GOODLETTSVILLE, TN
ZIP 37072
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Facility Phone Number: 615 859-3937

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1649925801

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2259381
LAB Type	Ambulatory Surgery Center
Facility Name	MUSIC CITY SURGERY CENTER
Street	520 RIVERGATE PARKWAY, SUITE 101
City	GOODLETTSVILLE
State	TN
ZIP	37072
Phone	615 859-3937
CertificateType	4
CertificateEffectiveDate	5/5/2024
CertificateExpirationDate	5/4/2026
FacilityType	Waiver

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