10D1096486 CLIA NUMBER - AMERICAN HEALTH IMAGING OF FL, LLC DBA TALLAHASSEE HEALTH IMAGING LLC

Laboratory Demographics

CLIA Number: 10D1096486

Facility Name: AMERICAN HEALTH IMAGING OF FL, LLC DBA TALLAHASSEE HEALTH IMAGING LLC

Facility Address:
2510 MICCOSUKEE RD STE 100
TALLAHASSEE, FL
ZIP 32308
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Facility Phone Number: 850 942-1100

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1326023284

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1096486
LAB Type	Independent
Facility Name	AMERICAN HEALTH IMAGING OF FL, LLC DBA TALLAHASSEE HEALTH IMAGING LLC
Street	2510 MICCOSUKEE RD STE 100
City	TALLAHASSEE
State	FL
ZIP	32308
Phone	850 942-1100
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

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