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23D0919276 CLIA NUMBER - SOUTHWEST MICHIGAN IMAGING CENTER LLC

Laboratory Demographics

CLIA Number: 23D0919276

Facility Name: SOUTHWEST MICHIGAN IMAGING CENTER LLC

Facility Address:
1700 GULL ROAD
KALAMAZOO, MI
ZIP 49001
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Facility Phone Number: 616 342-1099

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1972366003

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 23D0919276
LAB Type Other
Facility Name SOUTHWEST MICHIGAN IMAGING CENTER LLC
Street 1700 GULL ROAD
City KALAMAZOO
State MI
ZIP 49001
Phone 616 342-1099
CertificateType 4
CertificateEffectiveDate 9/4/2022
CertificateExpirationDate 9/3/2024
FacilityType Waiver

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