34D1069352 CLIA NUMBER - NORTH CAROLINA DIAGNOSTIC IMAGING-MOORESVILLE

Laboratory Demographics

CLIA Number: 34D1069352

Facility Name: NORTH CAROLINA DIAGNOSTIC IMAGING-MOORESVILLE

Facility Address:
118 GATEWAY BLVD STE E
MOORESVILLE, NC
ZIP 28117
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Facility Phone Number: 704 662-8580

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1336454156

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name	Field Value
CLIA Number	34D1069352
LAB Type	Other
Facility Name	NORTH CAROLINA DIAGNOSTIC IMAGING-MOORESVILLE
Street	118 GATEWAY BLVD STE E
City	MOORESVILLE
State	NC
ZIP	28117
Phone	704 662-8580
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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