01D1086735 CLIA NUMBER - MONTGOMERY OPEN MRI

Laboratory Demographics

  • CLIA Code: 01D1086735
  • Facility Name: MONTGOMERY OPEN MRI
  • Facility Address: 7100 UNIVERSITY COURT
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 213-0036
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JOSH D. DICKERSON
  • NPI Number: 1841696622
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D1086735
LAB Type Independent
Facility Name MONTGOMERY OPEN MRI
Street 7100 UNIVERSITY COURT
City MONTGOMERY
State AL
ZIP 36117
Phone 334 213-0036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Independent
Lab Director JOSH D. DICKERSON

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This page was last updated on: 9/29/2025