10D2224694 CLIA NUMBER - SIMONMED IMAGING FLORIDA, LLC DBA SIMONMED IMAGING - JACKSONVILLE

Laboratory Demographics

  • CLIA Code: 10D2224694
  • Facility Name: SIMONMED IMAGING FLORIDA, LLC DBA SIMONMED IMAGING - JACKSONVILLE
  • Facility Address: 6138 KENNERLY RD STE 100
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 638-0217
  • Facility Type: Other - RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1477123446
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2224694
LAB Type Other - RADIOLOGY
Facility Name SIMONMED IMAGING FLORIDA, LLC DBA SIMONMED IMAGING - JACKSONVILLE
Street 6138 KENNERLY RD STE 100
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 638-0217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Other - RADIOLOGY
Lab Director VIJITHA K. REDDY

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