10D2024456 CLIA NUMBER - DIGITAL MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 10D2024456
  • Facility Name: DIGITAL MEDICAL IMAGING
  • Facility Address: 20601 E DIXIE HWY STE 350
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 786 923-2000
  • Facility Type: Other - ITDF
  • Facility Type: Waiver
  • Lab Director: ERIC GODREAU
  • NPI Number: 1902829369
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2024456
LAB Type Other - ITDF
Facility Name DIGITAL MEDICAL IMAGING
Street 20601 E DIXIE HWY STE 350
City AVENTURA
State FL
ZIP 33180
Phone 786 923-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Other - ITDF
Lab Director ERIC GODREAU

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