10D2318050 CLIA NUMBER - DIVERSITY MRI LLC

Laboratory Demographics

  • CLIA Code: 10D2318050
  • Facility Name: DIVERSITY MRI LLC
  • Facility Address: 801 S UNIVERSITY DRIVE K103A
    PLANTATION, FL
    ZIP 33324
  • Facility Phone: 954 905-7217
  • Facility Type: Other - IMAGING CENTER-IDTF
  • Facility Type: Waiver
  • Lab Director: ROBERT HYMAN
  • NPI Number: 1346746179
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2318050
LAB Type Other - IMAGING CENTER-IDTF
Facility Name DIVERSITY MRI LLC
Street 801 S UNIVERSITY DRIVE K103A
City PLANTATION
State FL
ZIP 33324
Phone 954 905-7217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Other - IMAGING CENTER-IDTF
Lab Director ROBERT HYMAN

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