10D2257999 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE NONA

Laboratory Demographics

  • CLIA Code: 10D2257999
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE NONA
  • Facility Address: 10105 CLEAR VISTA ST, STE 100
    ORLANDO, FL
    ZIP 32832
  • Facility Phone: 407 587-0710
  • Facility Type: Other - OUTPATIENT MEDICALIMAGING
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1144976093
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2257999
LAB Type Other - OUTPATIENT MEDICALIMAGING
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LAKE NONA
Street 10105 CLEAR VISTA ST, STE 100
City ORLANDO
State FL
ZIP 32832
Phone 407 587-0710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Other - OUTPATIENT MEDICALIMAGING
Lab Director VIJITHA K. REDDY

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