10D1093777 CLIA NUMBER - PANAMA CITY OPEN MRI

Laboratory Demographics

CLIA Number: 10D1093777

Facility Name: PANAMA CITY OPEN MRI

Facility Address:
2525 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 873-6900

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1225096936

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	10D1093777
LAB Type	Other
Facility Name	PANAMA CITY OPEN MRI
Street	2525 MARTIN LUTHER KING JR BLVD
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 873-6900
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