10D1080125 CLIA NUMBER - SIMONMED IMAGING OVIEDO

Laboratory Demographics

CLIA Number: 10D1080125

Facility Name: SIMONMED IMAGING OVIEDO

Facility Address:
7424 RED BUG LAKE RD
OVIEDO, FL
ZIP 32765
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Facility Phone Number: 407 971-6344

Facility Type: Other - MEDICAL RADIOLOGY

Certificate Type: Waiver

NPI Number: 1659941631

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	10D1080125
LAB Type	Other - MEDICAL RADIOLOGY
Facility Name	SIMONMED IMAGING OVIEDO
Street	7424 RED BUG LAKE RD
City	OVIEDO
State	FL
ZIP	32765
Phone	407 971-6344
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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