42D1022259 CLIA NUMBER - ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY

Laboratory Demographics

CLIA Number: 42D1022259

Facility Name: ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY

Facility Address:
2110 NORTH HIGHWAY 81
ANDERSON, SC
ZIP 29621
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Facility Phone Number: 864 225-6286

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1407026545

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name Field Value
CLIA Number 42D1022259
LAB Type Other
Facility Name ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY
Street 2110 NORTH HIGHWAY 81
City ANDERSON
State SC
ZIP 29621
Phone 864 225-6286
CertificateType 4
CertificateEffectiveDate 9/17/2022
CertificateExpirationDate 9/16/2024
FacilityType Waiver

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