14D0725904 CLIA NUMBER - ANDREW A ROTH MD SC

Laboratory Demographics

CLIA Number: 14D0725904

Facility Name: ANDREW A ROTH MD SC

Facility Address:
500 E 22ND ST - STE A
LOMBARD, IL
ZIP 60148
Get Directions

Facility Phone Number: 630 932-2055

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1629020532

Taxonomy: 2085R0204X - Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

CLIA Record

Field Name	Field Value
CLIA Number	14D0725904
LAB Type	Physician Office
Facility Name	ANDREW A ROTH MD SC
Street	500 E 22ND ST - STE A
City	LOMBARD
State	IL
ZIP	60148
Phone	630 932-2055
CertificateType	3
CertificateEffectiveDate	5/10/2024
CertificateExpirationDate	5/9/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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