11D1103715 CLIA NUMBER - OUTPATIENT IMAGING LLC

Laboratory Demographics

  • CLIA Code: 11D1103715
  • Facility Name: OUTPATIENT IMAGING LLC
  • Facility Address: 10 EASTBROOK BEND
    PEACHTREE CITY, GA
    ZIP 30269
  • Facility Phone: 770 305-4674
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN F. ARNOLD MD
  • NPI Number: 1053386219
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 11D1103715
LAB Type Other
Facility Name OUTPATIENT IMAGING LLC
Street 10 EASTBROOK BEND
City PEACHTREE CITY
State GA
ZIP 30269
Phone 770 305-4674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other
Lab Director JOHN F. ARNOLD MD

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