10D2145682 CLIA NUMBER - MEDICAL MRI GROUP, LLC DBA BAYMEADOWS MRI

Laboratory Demographics

  • CLIA Code: 10D2145682
  • Facility Name: MEDICAL MRI GROUP, LLC DBA BAYMEADOWS MRI
  • Facility Address: 7999 PHILLIPS HWY STE 311
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 683-6667
  • Facility Type: Other - IND DX TESTING FACILITY
  • Facility Type: Waiver
  • Lab Director: SCOTT D. WIEDENMANN
  • NPI Number: 1154690550
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2145682
LAB Type Other - IND DX TESTING FACILITY
Facility Name MEDICAL MRI GROUP, LLC DBA BAYMEADOWS MRI
Street 7999 PHILLIPS HWY STE 311
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 683-6667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Other - IND DX TESTING FACILITY
Lab Director SCOTT D. WIEDENMANN

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