10D1102776 CLIA NUMBER - TAMPA BAY IMAGING LLC

Laboratory Demographics

CLIA Number: 10D1102776

Facility Name: TAMPA BAY IMAGING LLC

Facility Address:
7800 66TH N STE 106
PINELLAS PARK, FL
ZIP 33781
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Facility Phone Number: 727 545-9674

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1912952482

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1102776
LAB Type	Other
Facility Name	TAMPA BAY IMAGING LLC
Street	7800 66TH N STE 106
City	PINELLAS PARK
State	FL
ZIP	33781
Phone	727 545-9674
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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