15D2312236 CLIA NUMBER - ESKENAZI HEALTH IMAGING WEST 38TH STREET

Laboratory Demographics

  • CLIA Code: 15D2312236
  • Facility Name: ESKENAZI HEALTH IMAGING WEST 38TH STREET
  • Facility Address: 5515 WEST 38TH STREET SUITE 1300
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 880-5286
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BILAL TAHIR
  • NPI Number: 1710356563
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2312236
LAB Type Federally Qualified Health Center
Facility Name ESKENAZI HEALTH IMAGING WEST 38TH STREET
Street 5515 WEST 38TH STREET SUITE 1300
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 880-5286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Federally Qualified Health Center
Lab Director BILAL TAHIR

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This page was last updated on: 3/20/2025