10D2023903 CLIA NUMBER - PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH TAMIAMI NORTH

Laboratory Demographics

  • CLIA Code: 10D2023903
  • Facility Name: PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH TAMIAMI NORTH
  • Facility Address: 260 TAMIAMI TRL N
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 513 924-5489
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GILBERT H. MAULSBY
  • NPI Number: 1679164305
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2023903
LAB Type Physician Office
Facility Name PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH TAMIAMI NORTH
Street 260 TAMIAMI TRL N
City NAPLES
State FL
ZIP 34102
Phone 513 924-5489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director GILBERT H. MAULSBY

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This page was last updated on: 9/29/2025