10D1080117 CLIA NUMBER - SIMONMED IMAGING KISSIMMEE

Laboratory Demographics

  • CLIA Code: 10D1080117
  • Facility Name: SIMONMED IMAGING KISSIMMEE
  • Facility Address: 208 W OAK ST
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 846-8700
  • Facility Type: Other - MEDICAL RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1578236287
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1080117
LAB Type Other - MEDICAL RADIOLOGY
Facility Name SIMONMED IMAGING KISSIMMEE
Street 208 W OAK ST
City KISSIMMEE
State FL
ZIP 34741
Phone 407 846-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Other - MEDICAL RADIOLOGY
Lab Director VIJITHA K. REDDY

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