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45D2072527 CLIA NUMBER - STANLEY H KIM PA

Laboratory Demographics

CLIA Number: 45D2072527

Facility Name: STANLEY H KIM PA

Facility Address:
8333 CROSS PARK DRIVE
AUSTIN, TX
ZIP 78754
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Facility Phone Number: 512 494-6024

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1871578252

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 45D2072527
LAB Type Physician Office
Facility Name STANLEY H KIM PA
Street 8333 CROSS PARK DRIVE
City AUSTIN
State TX
ZIP 78754
Phone 512 494-6024
CertificateType 4
CertificateEffectiveDate 2/3/2024
CertificateExpirationDate 2/2/2026
FacilityType Waiver

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