38D1077910 CLIA NUMBER - OREGON ADVANCED IMAGING

Laboratory Demographics

CLIA Number: 38D1077910

Facility Name: OREGON ADVANCED IMAGING

Facility Address:
1107 CRATER LAKE AVENUE
MEDFORD, OR
ZIP 97504
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Facility Phone Number: 541 608-0350

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1083688402

Taxonomy: 2471M1202X - Radiologic Technologist
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.

CLIA Record

Field Name	Field Value
CLIA Number	38D1077910
LAB Type	Other
Facility Name	OREGON ADVANCED IMAGING
Street	1107 CRATER LAKE AVENUE
City	MEDFORD
State	OR
ZIP	97504
Phone	541 608-0350
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

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