10D2002815 CLIA NUMBER - THE MEDICAL IMAGING PARTNERSHIP PRECISION IMAGING CENTERS GATE PARKWAY

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Laboratory Demographics

CLIA Number: 10D2002815

Facility Name: THE MEDICAL IMAGING PARTNERSHIP PRECISION IMAGING CENTERS GATE PARKWAY

Facility Address:
7860 GATE PKWY STE 123
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 904 996-8100

Facility Type: Other - INDEPENDANT DIAGNOSTIC TE

Certificate Type: Waiver

NPI Number: 1104849280

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2002815
LAB Type	Other - INDEPENDANT DIAGNOSTIC TE
Facility Name	THE MEDICAL IMAGING PARTNERSHIP PRECISION IMAGING CENTERS GATE PARKWAY
Street	7860 GATE PKWY STE 123
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	904 996-8100
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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