26D2026891 CLIA NUMBER - METRO IMAGING NORTH COUNTY

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Laboratory Demographics

CLIA Number: 26D2026891

Facility Name: METRO IMAGING NORTH COUNTY

Facility Address:
125 DUNN ROAD
FLORISSANT, MO
ZIP 63031
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Facility Phone Number: 314 921-9555

Facility Type: Other - OUTPT RADIOLOGY CLINIC

Certificate Type: Waiver

NPI Number: 1760578496

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	26D2026891
LAB Type	Other - OUTPT RADIOLOGY CLINIC
Facility Name	METRO IMAGING NORTH COUNTY
Street	125 DUNN ROAD
City	FLORISSANT
State	MO
ZIP	63031
Phone	314 921-9555
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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