45D2086146 CLIA NUMBER - NEUROLOGY CENTER OF SAN ANTONIO

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Laboratory Demographics

CLIA Number: 45D2086146

Facility Name: NEUROLOGY CENTER OF SAN ANTONIO

Facility Address:
1314 E SONTERRA BLVD SUITE 601
SAN ANTONIO, TX
ZIP 78258
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Facility Phone Number: 201 049-0001

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427148378

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	45D2086146
LAB Type	Physician Office
Facility Name	NEUROLOGY CENTER OF SAN ANTONIO
Street	1314 E SONTERRA BLVD SUITE 601
City	SAN ANTONIO
State	TX
ZIP	78258
Phone	201 049-0001
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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