10D2315378 CLIA NUMBER - FLORIDA INTERVENTIONAL INSTITUTE INC

Laboratory Demographics

  • CLIA Code: 10D2315378
  • Facility Name: FLORIDA INTERVENTIONAL INSTITUTE INC
  • Facility Address: 7369 SHERIDAN ST STE 300
    HOLLYWOOD, FL
    ZIP 33024
  • Facility Phone: 305 204-7276
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASOON P. MOHAN
  • NPI Number: 1588404198
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2315378
LAB Type Physician Office
Facility Name FLORIDA INTERVENTIONAL INSTITUTE INC
Street 7369 SHERIDAN ST STE 300
City HOLLYWOOD
State FL
ZIP 33024
Phone 305 204-7276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director PRASOON P. MOHAN

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