10D2156353 CLIA NUMBER - GULF COAST MRI LLC

Laboratory Demographics

  • CLIA Code: 10D2156353
  • Facility Name: GULF COAST MRI LLC
  • Facility Address: 116 S PINELLAS AVE
    TARPON SPRINGS, FL
    ZIP 34689
  • Facility Phone: 727 934-0513
  • Facility Type: Other - DIAGNOSTIC IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER GLIES
  • NPI Number: 1598118176
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2156353
LAB Type Other - DIAGNOSTIC IMAGING CENTER
Facility Name GULF COAST MRI LLC
Street 116 S PINELLAS AVE
City TARPON SPRINGS
State FL
ZIP 34689
Phone 727 934-0513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Other - DIAGNOSTIC IMAGING CENTER
Lab Director CHRISTOPHER GLIES

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