19D2146850 CLIA NUMBER - DIAGNOSTIC IMAGING SERVICES, INC

Laboratory Demographics

CLIA Number: 19D2146850

Facility Name: DIAGNOSTIC IMAGING SERVICES, INC

Facility Address:
1200 PINNACLE PARKWAY, STE 5
COVINGTON, LA
ZIP 70433
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Facility Phone Number: 504 459-3260

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659616696

Taxonomy: 207XS0117X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

CLIA Record

Field Name	Field Value
CLIA Number	19D2146850
LAB Type	Physician Office
Facility Name	DIAGNOSTIC IMAGING SERVICES, INC
Street	1200 PINNACLE PARKWAY, STE 5
City	COVINGTON
State	LA
ZIP	70433
Phone	504 459-3260
CertificateType	4
CertificateEffectiveDate	4/6/2024
CertificateExpirationDate	4/5/2026
FacilityType	Waiver

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