10D2082062 CLIA NUMBER - RX IMAGING OF SWFL LLC

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Laboratory Demographics

CLIA Number: 10D2082062

Facility Name: RX IMAGING OF SWFL LLC

Facility Address:
506 SE 47TH TERR STE A
CAPE CORAL, FL
ZIP 33904
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Facility Phone Number: 941 815-1103

Facility Type: Other - IMAGING CENTER

Certificate Type: Waiver

NPI Number: 1790184356

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	10D2082062
LAB Type	Other - IMAGING CENTER
Facility Name	RX IMAGING OF SWFL LLC
Street	506 SE 47TH TERR STE A
City	CAPE CORAL
State	FL
ZIP	33904
Phone	941 815-1103
CertificateType	4
CertificateEffectiveDate	8/6/2022
CertificateExpirationDate	8/5/2024
FacilityType	Waiver

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