05D2022819 CLIA NUMBER - HUNTINGTON-HILL IMAGING CENTER

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Laboratory Demographics

CLIA Number: 05D2022819

Facility Name: HUNTINGTON-HILL IMAGING CENTER

Facility Address:
625 S FAIROAKS STE 180
PASADENA, CA
ZIP 91105
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Facility Phone Number: 626 229-8969

Facility Type: Other - MED IMAGING FACILITY

Certificate Type: Waiver

NPI Number: 1679562698

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	05D2022819
LAB Type	Other - MED IMAGING FACILITY
Facility Name	HUNTINGTON-HILL IMAGING CENTER
Street	625 S FAIROAKS STE 180
City	PASADENA
State	CA
ZIP	91105
Phone	626 229-8969
CertificateType	4
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	Waiver

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