05D1084051 CLIA NUMBER - PALMS IMAGING MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D1084051

Facility Name: PALMS IMAGING MEDICAL GROUP

Facility Address:
1901 OUTLET CENTER DR SUITE 120
OXNARD, CA
ZIP 93036
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Facility Phone Number: 805 604-9500

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1851347272

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	05D1084051
LAB Type	Community Clinic
Facility Name	PALMS IMAGING MEDICAL GROUP
Street	1901 OUTLET CENTER DR SUITE 120
City	OXNARD
State	CA
ZIP	93036
Phone	805 604-9500
CertificateType	4
CertificateEffectiveDate	5/15/2022
CertificateExpirationDate	5/14/2024
FacilityType	Waiver

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