10D2023977 CLIA NUMBER - PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH MEDICAL BLVD

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Laboratory Demographics

CLIA Number: 10D2023977

Facility Name: PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH MEDICAL BLVD

Facility Address:
1715 MEDICAL BLVD
NAPLES, FL
ZIP 34110
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Facility Phone Number: 513 924-5489

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003406711

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	10D2023977
LAB Type	Physician Office
Facility Name	PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH MEDICAL BLVD
Street	1715 MEDICAL BLVD
City	NAPLES
State	FL
ZIP	34110
Phone	513 924-5489
CertificateType	4
CertificateEffectiveDate	5/6/2023
CertificateExpirationDate	5/5/2025
FacilityType	Waiver

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