21D2159797 CLIA NUMBER - JOHNS HOPKINS IMAGING AT GREEN SPRING STATION

Laboratory Demographics

CLIA Number: 21D2159797

Facility Name: JOHNS HOPKINS IMAGING AT GREEN SPRING STATION

Facility Address:
10803 FALLS ROAD SUITE 1100
LUTHERVILLE, MD
ZIP 21093
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Facility Phone Number: 410 583-2704

Facility Type: Other - RADIOLOGY IMAGING

Certificate Type: Certificate of Compliance

NPI Number: 1295385482

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2159797
LAB Type	Other - RADIOLOGY IMAGING
Facility Name	JOHNS HOPKINS IMAGING AT GREEN SPRING STATION
Street	10803 FALLS ROAD SUITE 1100
City	LUTHERVILLE
State	MD
ZIP	21093
Phone	410 583-2704
CertificateType	2
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	Compliance

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