33D2027582 CLIA NUMBER - MADISON AVENUE MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 33D2027582
  • Facility Name: MADISON AVENUE MEDICAL IMAGING
  • Facility Address: 240 MADISON AVENUE
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 772-3111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN MELNICK
  • NPI Number: 1457417537
  • Taxonomy: 2085B0100X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2027582
LAB Type Physician Office
Facility Name MADISON AVENUE MEDICAL IMAGING
Street 240 MADISON AVENUE
City NEW YORK
State NY
ZIP 10016
Phone 212 772-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2014
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. JOHN MELNICK

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