45D2154419 CLIA NUMBER - ARC MEDICAL PARK ORTHOPEDIC

Laboratory Demographics

CLIA Number: 45D2154419

Facility Name: ARC MEDICAL PARK ORTHOPEDIC

Facility Address:
1301 W 38TH ST, STE 102
AUSTIN, TX
ZIP 78705
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Facility Phone Number: 512 465-1608

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659691624

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	45D2154419
LAB Type	Physician Office
Facility Name	ARC MEDICAL PARK ORTHOPEDIC
Street	1301 W 38TH ST, STE 102
City	AUSTIN
State	TX
ZIP	78705
Phone	512 465-1608
CertificateType	4
CertificateEffectiveDate	9/12/2022
CertificateExpirationDate	9/11/2024
FacilityType	Waiver

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