10D2163353 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING HUNTERS CREEK

Laboratory Demographics

  • CLIA Code: 10D2163353
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING HUNTERS CREEK
  • Facility Address: 1125 MIRANDA LN
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: 480 428-5601
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: VIJITHA REDDY
  • NPI Number: 1790354983
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2163353
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING HUNTERS CREEK
Street 1125 MIRANDA LN
City KISSIMMEE
State FL
ZIP 34744
Phone 480 428-5601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director VIJITHA REDDY

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