36D1079831 CLIA NUMBER - PROSCAN IMAGING MIDTOWN

Laboratory Demographics

  • CLIA Code: 36D1079831
  • Facility Name: PROSCAN IMAGING MIDTOWN
  • Facility Address: 5400 KENNEDY AVENUE
    CINCINNATI, OH
    ZIP 45213
  • Facility Phone: 513 281-3400
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. POMERANZ
  • NPI Number: 1447240502
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 36D1079831
LAB Type Other
Facility Name PROSCAN IMAGING MIDTOWN
Street 5400 KENNEDY AVENUE
City CINCINNATI
State OH
ZIP 45213
Phone 513 281-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other
Lab Director STEPHEN J. POMERANZ

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