33D2109737 CLIA NUMBER - MOUNT SINAI DOCTORS - ROCKVILLE CENTER, PET/CT

Laboratory Demographics

CLIA Number: 33D2109737

Facility Name: MOUNT SINAI DOCTORS - ROCKVILLE CENTER, PET/CT

Facility Address:
485 MERRICK RD
ROCKVILLE CENTRE, NY
ZIP 11570
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Facility Phone Number: 516 255-9555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144844317

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	33D2109737
LAB Type	Physician Office
Facility Name	MOUNT SINAI DOCTORS - ROCKVILLE CENTER, PET/CT
Street	485 MERRICK RD
City	ROCKVILLE CENTRE
State	NY
ZIP	11570
Phone	516 255-9555
CertificateType	4
CertificateEffectiveDate	3/1/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024