14D2188762 CLIA NUMBER - METRO MRI CENTER LIMITED PARTNERSHIP

Laboratory Demographics

CLIA Number: 14D2188762

Facility Name: METRO MRI CENTER LIMITED PARTNERSHIP

Facility Address:
615 VALLEY VIEW DR - STE 102
MOLINE, IL
ZIP 61265
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Facility Phone Number: 309 762-7227

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1245216860

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2188762
LAB Type	Independent
Facility Name	METRO MRI CENTER LIMITED PARTNERSHIP
Street	615 VALLEY VIEW DR - STE 102
City	MOLINE
State	IL
ZIP	61265
Phone	309 762-7227
CertificateType	4
CertificateEffectiveDate	7/21/2022
CertificateExpirationDate	7/20/2024
FacilityType	Waiver

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