10D2161759 CLIA NUMBER - PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH COLLIER SOUTH

Laboratory Demographics

  • CLIA Code: 10D2161759
  • Facility Name: PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH COLLIER SOUTH
  • Facility Address: 7717 COLLIER BLVD STE 101
    NAPLES, FL
    ZIP 34113
  • Facility Phone: 513 924-5489
  • Facility Type: Other - OP IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: GILBERT H. MAULSBY
  • NPI Number: 1689265316
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2161759
LAB Type Other - OP IMAGING CENTER
Facility Name PROSCAN NCH IMAGING, LLC DBA PROSCAN NCH COLLIER SOUTH
Street 7717 COLLIER BLVD STE 101
City NAPLES
State FL
ZIP 34113
Phone 513 924-5489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Other - OP IMAGING CENTER
Lab Director GILBERT H. MAULSBY

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