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10D2262133 CLIA NUMBER - PEEPING MOMS ULTRASOUND BOUTIQUE LLC

Laboratory Demographics

CLIA Number: 10D2262133

Facility Name: PEEPING MOMS ULTRASOUND BOUTIQUE LLC

Facility Address:
6320 US 301 S
RIVERVIEW, FL
ZIP 33578
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Facility Phone Number: 813 647-9099

Facility Type: Other - ULTRASOUND CLINIC

Certificate Type: Waiver
NPI Number: 1720723737

Taxonomy: 2085U0001X - Radiology
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

CLIA Record

Field Name Field Value
CLIA Number 10D2262133
LAB Type Other - ULTRASOUND CLINIC
Facility Name PEEPING MOMS ULTRASOUND BOUTIQUE LLC
Street 6320 US 301 S
City RIVERVIEW
State FL
ZIP 33578
Phone 813 647-9099
CertificateType 4
CertificateEffectiveDate 6/9/2022
CertificateExpirationDate 6/8/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024