10D2123738 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING LONGWOOD

Laboratory Demographics

  • CLIA Code: 10D2123738
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING LONGWOOD
  • Facility Address: 225 W SR 434 STE 103, 104
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 480 584-5508
  • Facility Type: Other - MEDICAL OUTPATIENT RADIOL
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1033789011
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2123738
LAB Type Other - MEDICAL OUTPATIENT RADIOL
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING LONGWOOD
Street 225 W SR 434 STE 103, 104
City LONGWOOD
State FL
ZIP 32750
Phone 480 584-5508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Other - MEDICAL OUTPATIENT RADIOL
Lab Director HOWARD J. SIMON

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