10D2000653 CLIA NUMBER - MIDTOWN IMAGING OF PALM BEACH GARDENS

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Laboratory Demographics

CLIA Number: 10D2000653

Facility Name: MIDTOWN IMAGING OF PALM BEACH GARDENS

Facility Address:
2529 BURNS RD
PALM BEACH GARDENS, FL
ZIP 33410
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Facility Phone Number: 561 625-4441

Facility Type: Other - DIAGNOSTIC RADIOLOGY

Certificate Type: Waiver

NPI Number: 1770652984

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2000653
LAB Type	Other - DIAGNOSTIC RADIOLOGY
Facility Name	MIDTOWN IMAGING OF PALM BEACH GARDENS
Street	2529 BURNS RD
City	PALM BEACH GARDENS
State	FL
ZIP	33410
Phone	561 625-4441
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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