21D2076131 CLIA NUMBER - ADVANCED PET IMAGING OF MARYLAND

Laboratory Demographics

  • CLIA Code: 21D2076131
  • Facility Name: ADVANCED PET IMAGING OF MARYLAND
  • Facility Address: 1700 REISTERSTOWN ROAD
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 580-2122
  • Facility Type: Other - OUTPATIENT RADIOLOGY OFFI
  • Facility Type: Waiver
  • Lab Director: FREDERIC K. YEGANEH
  • NPI Number: 1841638608
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2076131
LAB Type Other - OUTPATIENT RADIOLOGY OFFI
Facility Name ADVANCED PET IMAGING OF MARYLAND
Street 1700 REISTERSTOWN ROAD
City PIKESVILLE
State MD
ZIP 21208
Phone 410 580-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Other - OUTPATIENT RADIOLOGY OFFI
Lab Director FREDERIC K. YEGANEH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025