22D2295335 CLIA NUMBER - BAYSTATE MRI & IMAGING CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2295335
  • Facility Name: BAYSTATE MRI & IMAGING CENTER, LLC
  • Facility Address: 80 WASON AVE
    SPRINGFIELD, MA
    ZIP 01107
  • Facility Phone: 413 730-9200
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: STEPHEN T. SWERIDUK
  • NPI Number: 1558310474
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2295335
LAB Type Other - CLINIC
Facility Name BAYSTATE MRI & IMAGING CENTER, LLC
Street 80 WASON AVE
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 730-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - CLINIC
Lab Director STEPHEN T. SWERIDUK

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