15D2022446 CLIA NUMBER - EAST CENTRAL RADIOLOGY INC

Laboratory Demographics

  • CLIA Code: 15D2022446
  • Facility Name: EAST CENTRAL RADIOLOGY INC
  • Facility Address: 2598 WHITERIVER BLVD
    MUNCIE, IN
    ZIP 47303
  • Facility Phone: 765 213-1815
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: COLLEEN MADDEN
  • NPI Number: 1043394695
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 15D2022446
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name EAST CENTRAL RADIOLOGY INC
Street 2598 WHITERIVER BLVD
City MUNCIE
State IN
ZIP 47303
Phone 765 213-1815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director COLLEEN MADDEN

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