10D2007396 CLIA NUMBER - FLORIDA RADIOLOGY LEASING, LLC

Home > CLIA Lookup > 10D2007396

Laboratory Demographics

CLIA Number: 10D2007396

Facility Name: FLORIDA RADIOLOGY LEASING, LLC

Facility Address:
6311 S POINTE BLVD STE 100
FORT MYERS, FL
ZIP 33919
Get Directions

Facility Phone Number: 239 938-3500

Facility Type: Other - OUTPATIENT RADIOLOGY FAC

Certificate Type: Waiver

NPI Number: 1518911668

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	10D2007396
LAB Type	Other - OUTPATIENT RADIOLOGY FAC
Facility Name	FLORIDA RADIOLOGY LEASING, LLC
Street	6311 S POINTE BLVD STE 100
City	FORT MYERS
State	FL
ZIP	33919
Phone	239 938-3500
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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