10D2132319 CLIA NUMBER - SIMON MED IMAGING - OCOEE II

Laboratory Demographics

  • CLIA Code: 10D2132319
  • Facility Name: SIMON MED IMAGING - OCOEE II
  • Facility Address: 10125 W COLONIAL DR STE 114
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 531-6435
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1629741327
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2132319
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SIMON MED IMAGING - OCOEE II
Street 10125 W COLONIAL DR STE 114
City OCOEE
State FL
ZIP 34761
Phone 407 531-6435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director VIJITHA K. REDDY

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This page was last updated on: 6/4/2025