10D2263191 CLIA NUMBER - SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING- CARROLLWOOD

Laboratory Demographics

  • CLIA Code: 10D2263191
  • Facility Name: SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING- CARROLLWOOD
  • Facility Address: 10010 N DALE MABRY HWY STE 150
    TAMPA, FL
    ZIP 33618
  • Facility Phone: (813) 964-8439
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1689317497
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2263191
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SIMONMED IMAGING FLORIDA DBA SIMONMED IMAGING- CARROLLWOOD
Street 10010 N DALE MABRY HWY STE 150
City TAMPA
State FL
ZIP 33618
Phone 8139648439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director VIJITHA K. REDDY

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This page was last updated on: 5/18/2026