10D2167592 CLIA NUMBER - IMPRESSION IMAGING

Laboratory Demographics

  • CLIA Code: 10D2167592
  • Facility Name: IMPRESSION IMAGING
  • Facility Address: 7180 N UNIVERSITY DR
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: 954 580-2780
  • Facility Type: Other - IMAGING CTR RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: MICHAEL FAGIEN
  • NPI Number: 1528714714
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2167592
LAB Type Other - IMAGING CTR RADIOLOGY
Facility Name IMPRESSION IMAGING
Street 7180 N UNIVERSITY DR
City TAMARAC
State FL
ZIP 33321
Phone 954 580-2780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Other - IMAGING CTR RADIOLOGY
Lab Director MICHAEL FAGIEN

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