05D2089472 CLIA NUMBER - UMI OF ANAHEIM

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Laboratory Demographics

CLIA Number: 05D2089472

Facility Name: UMI OF ANAHEIM

Facility Address:
1801 W ROMNEYA DR STE 104 UNITED MEDICAL IMAGING HEALTHCARE INC
ANAHEIM, CA
ZIP 92801
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Facility Phone Number: 714 678-4000

Facility Type: Other - OUTPATIENT RADIOLOGY CLIN

Certificate Type: Waiver

NPI Number: 1083101620

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2089472
LAB Type	Other - OUTPATIENT RADIOLOGY CLIN
Facility Name	UMI OF ANAHEIM
Street	1801 W ROMNEYA DR STE 104 UNITED MEDICAL IMAGING HEALTHCARE INC
City	ANAHEIM
State	CA
ZIP	92801
Phone	714 678-4000
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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