10D2039823 CLIA NUMBER - IMAGING CENTER OF BOYNTON BEACH

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Laboratory Demographics

CLIA Number: 10D2039823

Facility Name: IMAGING CENTER OF BOYNTON BEACH

Facility Address:
2015 OCEAN DR STE 4
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 364-7544

Facility Type: Other - OP DIAGNOSTIC IMAGING CTR

Certificate Type: Waiver

NPI Number: 1396974705

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2039823
LAB Type	Other - OP DIAGNOSTIC IMAGING CTR
Facility Name	IMAGING CENTER OF BOYNTON BEACH
Street	2015 OCEAN DR STE 4
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 364-7544
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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