31D0993606 CLIA NUMBER - EDISON IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 31D0993606
  • Facility Name: EDISON IMAGING CENTER
  • Facility Address: 3900 PARK AVENUE SUITE 107 NUCLEAR MEDICINE PET ROOM
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 548-6800
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ROBERT M. JAFFE MD
  • NPI Number: 1952467284
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0993606
LAB Type Other
Facility Name EDISON IMAGING CENTER
Street 3900 PARK AVENUE SUITE 107 NUCLEAR MEDICINE PET ROOM
City EDISON
State NJ
ZIP 08820
Phone 732 548-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Other
Lab Director ROBERT M. JAFFE MD

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