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35D1026068 CLIA NUMBER - HEARTLAND DIAGNOSTIC SERVICES LLC

Laboratory Demographics

CLIA Number: 35D1026068

Facility Name: HEARTLAND DIAGNOSTIC SERVICES LLC

Facility Address:
3290 20TH ST S
FARGO, ND
ZIP 58104
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Facility Phone Number: 701 499-4833

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1033386859

Taxonomy: 2471C3402X - Radiologic Technologist
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

CLIA Record

Field Name Field Value
CLIA Number 35D1026068
LAB Type Independent
Facility Name HEARTLAND DIAGNOSTIC SERVICES LLC
Street 3290 20TH ST S
City FARGO
State ND
ZIP 58104
Phone 701 499-4833
CertificateType 4
CertificateEffectiveDate 8/25/2022
CertificateExpirationDate 8/24/2024
FacilityType Waiver

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