23D2038792 CLIA NUMBER - NORTHLAND RADIOLOGY INC

Laboratory Demographics

  • CLIA Code: 23D2038792
  • Facility Name: NORTHLAND RADIOLOGY INC
  • Facility Address: 20905 GREENFIELD ROAD SUITE 105
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 827-7200
  • Facility Type: Other - OUT PATIENT RAD CENTER
  • Facility Type: Waiver
  • Lab Director: RAMEGOWDA RAJAGOPAL
  • NPI Number: 1225652993
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 23D2038792
LAB Type Other - OUT PATIENT RAD CENTER
Facility Name NORTHLAND RADIOLOGY INC
Street 20905 GREENFIELD ROAD SUITE 105
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 827-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Other - OUT PATIENT RAD CENTER
Lab Director RAMEGOWDA RAJAGOPAL

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