33D2032591 CLIA NUMBER - MEDICAL IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 33D2032591
  • Facility Name: MEDICAL IMAGING CENTER
  • Facility Address: 5008 BRITTONFIELD PARKWAY, SUITE 100
    EAST SYRACUSE, NY
    ZIP 13057
  • Facility Phone: 315 234-7608
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER TAYLOR
  • NPI Number: 1538153671
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2032591
LAB Type Physician Office
Facility Name MEDICAL IMAGING CENTER
Street 5008 BRITTONFIELD PARKWAY, SUITE 100
City EAST SYRACUSE
State NY
ZIP 13057
Phone 315 234-7608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director DR. JENNIFER TAYLOR

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