33D1086960 CLIA NUMBER - HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL

Laboratory Demographics

  • CLIA Code: 33D1086960
  • Facility Name: HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL
  • Facility Address: 170 EAST 77TH STREET, LOWER LEVEL
    NEW YORK, NY
    ZIP 10075
  • Facility Phone: 212 369-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JANINE KEUSKAMP
  • NPI Number: 1932768934
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D1086960
LAB Type Physician Office
Facility Name HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL
Street 170 EAST 77TH STREET, LOWER LEVEL
City NEW YORK
State NY
ZIP 10075
Phone 212 369-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director DR. JANINE KEUSKAMP

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