31D2287295 CLIA NUMBER - ATLANTIC MEDICAL IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 31D2287295
  • Facility Name: ATLANTIC MEDICAL IMAGING, LLC
  • Facility Address: 602 WEST SHERMAN AVENUE
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 856 362-6056
  • Facility Type: Other - OUTPATIENT IMAGING FACILI
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. PETRUZZI
  • NPI Number: 1225132525
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2287295
LAB Type Other - OUTPATIENT IMAGING FACILI
Facility Name ATLANTIC MEDICAL IMAGING, LLC
Street 602 WEST SHERMAN AVENUE
City VINELAND
State NJ
ZIP 08360
Phone 856 362-6056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Other - OUTPATIENT IMAGING FACILI
Lab Director NICHOLAS J. PETRUZZI

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