15D2070537 CLIA NUMBER - MIDWEST RAD IMAGING AT DEACONESS GATEWAY

Laboratory Demographics

  • CLIA Code: 15D2070537
  • Facility Name: MIDWEST RAD IMAGING AT DEACONESS GATEWAY
  • Facility Address: 4087 GATEWAY BLVD
    NEWBURGH, IN
    ZIP 47630
  • Facility Phone: 812 858-0080
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LEE E. HOAGLAND
  • NPI Number: 1144217241
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 15D2070537
LAB Type Hospital
Facility Name MIDWEST RAD IMAGING AT DEACONESS GATEWAY
Street 4087 GATEWAY BLVD
City NEWBURGH
State IN
ZIP 47630
Phone 812 858-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Hospital
Lab Director LEE E. HOAGLAND

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