37D2067270 CLIA NUMBER - MUSCULOSKELETAL IMAGING & INTERVENTIONAL

Laboratory Demographics

  • CLIA Code: 37D2067270
  • Facility Name: MUSCULOSKELETAL IMAGING & INTERVENTIONAL
  • Facility Address: 1023 WATERWOOD PARKWAY
    EDMOND, OK
    ZIP 73034
  • Facility Phone: 405 601-2325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS P. BEALL
  • NPI Number: 1629020995
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 37D2067270
LAB Type Physician Office
Facility Name MUSCULOSKELETAL IMAGING & INTERVENTIONAL
Street 1023 WATERWOOD PARKWAY
City EDMOND
State OK
ZIP 73034
Phone 405 601-2325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director DOUGLAS P. BEALL

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