29D2129861 CLIA NUMBER - SIMONMED IMAGING-MARYLAND

Laboratory Demographics

  • CLIA Code: 29D2129861
  • Facility Name: SIMONMED IMAGING-MARYLAND
  • Facility Address: 3061 S MARYLAND PKWY STE 102
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 702 369-4570
  • Facility Type: Other - OUTPATIENT MED IMAGING
  • Facility Type: Waiver
  • Lab Director: TRAVIS SNYDER
  • NPI Number: 1740826627
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D2129861
LAB Type Other - OUTPATIENT MED IMAGING
Facility Name SIMONMED IMAGING-MARYLAND
Street 3061 S MARYLAND PKWY STE 102
City LAS VEGAS
State NV
ZIP 89109
Phone 702 369-4570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other - OUTPATIENT MED IMAGING
Lab Director TRAVIS SNYDER

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