10D2011236 CLIA NUMBER - BOWES IMAGING CENTER LLC

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Laboratory Demographics

CLIA Number: 10D2011236

Facility Name: BOWES IMAGING CENTER LLC

Facility Address:
6207 CORTEZ RD W
BRADENTON, FL
ZIP 34210
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Facility Phone Number: 941 782-0490

Facility Type: Other - HEALTHCARE CLINIC

Certificate Type: Waiver

NPI Number: 1316985658

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	10D2011236
LAB Type	Other - HEALTHCARE CLINIC
Facility Name	BOWES IMAGING CENTER LLC
Street	6207 CORTEZ RD W
City	BRADENTON
State	FL
ZIP	34210
Phone	941 782-0490
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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