10D1052524 CLIA NUMBER - PENSACOLA OPEN MRI

Laboratory Demographics

CLIA Number: 10D1052524

Facility Name: PENSACOLA OPEN MRI

Facility Address:
4511 N DAVIS HWY STE 1B
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 484-8454

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1235197930

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	10D1052524
LAB Type	Other
Facility Name	PENSACOLA OPEN MRI
Street	4511 N DAVIS HWY STE 1B
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 484-8454
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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