10D2152679 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - ALTAMONTE SPRINGS III

Laboratory Demographics

  • CLIA Code: 10D2152679
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - ALTAMONTE SPRINGS III
  • Facility Address: 745 ORIENTA AVE STES 1091, 1101, 1111, 1121, 1131 1141, 1151
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Facility Phone: 602 320-3344
  • Facility Type: Other - OP MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1023688090
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2152679
LAB Type Other - OP MEDICAL IMAGING
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - ALTAMONTE SPRINGS III
Street 745 ORIENTA AVE STES 1091, 1101, 1111, 1121, 1131 1141, 1151
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 602 320-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Other - OP MEDICAL IMAGING
Lab Director VIJITHA K. REDDY

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