10D2233888 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE UNDERHILL

Laboratory Demographics

  • CLIA Code: 10D2233888
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE UNDERHILL
  • Facility Address: 7806 LAKE UNDERHILL RD STE 101
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 608-6800
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: VIJITHA REDDY
  • NPI Number: 1255900445
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2233888
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE UNDERHILL
Street 7806 LAKE UNDERHILL RD STE 101
City ORLANDO
State FL
ZIP 32822
Phone 407 608-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director VIJITHA REDDY

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