01D1099425 CLIA NUMBER - SHADES MOUNTAIN IMAGING

Laboratory Demographics

  • CLIA Code: 01D1099425
  • Facility Name: SHADES MOUNTAIN IMAGING
  • Facility Address: 502 MONTGOMERY HIGHWAY
    VESTAVIA, AL
    ZIP 35216
  • Facility Phone: 205 823-0882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: C MICHAEL MEAD
  • NPI Number: 1033157185
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D1099425
LAB Type Physician Office
Facility Name SHADES MOUNTAIN IMAGING
Street 502 MONTGOMERY HIGHWAY
City VESTAVIA
State AL
ZIP 35216
Phone 205 823-0882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director C MICHAEL MEAD

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