33D1094668 CLIA NUMBER - EAST RIVER MEDICAL IMAGING PC

Laboratory Demographics

  • CLIA Code: 33D1094668
  • Facility Name: EAST RIVER MEDICAL IMAGING PC
  • Facility Address: 519 EAST 72ND STREET
    NEW YORK, NY
    ZIP 10021
  • Facility Phone: 212 288-1575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS DECORATO
  • NPI Number: 1982700936
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D1094668
LAB Type Physician Office
Facility Name EAST RIVER MEDICAL IMAGING PC
Street 519 EAST 72ND STREET
City NEW YORK
State NY
ZIP 10021
Phone 212 288-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS DECORATO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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