45D2083067 CLIA NUMBER - ORTHOPAEDIC CENTER OF MESQUITE

Laboratory Demographics

CLIA Number: 45D2083067

Facility Name: ORTHOPAEDIC CENTER OF MESQUITE

Facility Address:
1106 NORTH GALLOWAY AVENUE
MESQUITE, TX
ZIP 75149
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Facility Phone Number: 972 288-3331

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124157235

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 45D2083067
LAB Type Physician Office
Facility Name ORTHOPAEDIC CENTER OF MESQUITE
Street 1106 NORTH GALLOWAY AVENUE
City MESQUITE
State TX
ZIP 75149
Phone 972 288-3331
CertificateType 4
CertificateEffectiveDate 8/27/2022
CertificateExpirationDate 8/26/2024
FacilityType Waiver

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