10D2128558 CLIA NUMBER - RADIOLOGY IMAGING SPECIALIST LLC

Laboratory Demographics

  • CLIA Code: 10D2128558
  • Facility Name: RADIOLOGY IMAGING SPECIALIST LLC
  • Facility Address: 1714 SW 17TH STREET
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 274-9565
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: CHINTAN DESAI
  • NPI Number: 1619543485
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2128558
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name RADIOLOGY IMAGING SPECIALIST LLC
Street 1714 SW 17TH STREET
City OCALA
State FL
ZIP 34471
Phone 352 274-9565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director CHINTAN DESAI

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