14D2150331 CLIA NUMBER - ENVISION MEDICAL IMAGING, L L C

Laboratory Demographics

  • CLIA Code: 14D2150331
  • Facility Name: ENVISION MEDICAL IMAGING, L L C
  • Facility Address: 915 NATIONAL PKWY - STE 915-20
    SCHAUMBURG, IL
    ZIP 60173
  • Facility Phone: 847 929-6200
  • Facility Type: Other - IMAGINING CENTER
  • Facility Type: Waiver
  • Lab Director: RICHARD HONG JIK KIM
  • NPI Number: 1649769746
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2150331
LAB Type Other - IMAGINING CENTER
Facility Name ENVISION MEDICAL IMAGING, L L C
Street 915 NATIONAL PKWY - STE 915-20
City SCHAUMBURG
State IL
ZIP 60173
Phone 847 929-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other - IMAGINING CENTER
Lab Director RICHARD HONG JIK KIM

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