01D2315122 CLIA NUMBER - PREMIER IMAGING RADIOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 01D2315122
  • Facility Name: PREMIER IMAGING RADIOLOGY, PLLC
  • Facility Address: 100 PILOT MEDICAL DRIVE STE 150-B
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 838-1971
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ROSS W. BARNETT
  • NPI Number: 1093537474
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2315122
LAB Type Independent
Facility Name PREMIER IMAGING RADIOLOGY, PLLC
Street 100 PILOT MEDICAL DRIVE STE 150-B
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 838-1971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Independent
Lab Director ROSS W. BARNETT

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