42D2249583 CLIA NUMBER - AMERICAN HEALTH IMAGING OF MT PLEASANT

Laboratory Demographics

CLIA Number: 42D2249583

Facility Name: AMERICAN HEALTH IMAGING OF MT PLEASANT

Facility Address:
1117 HIGHWAY 41 SUITE 103
MT PLEASANT, SC
ZIP 29466
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Facility Phone Number: 843 999-0097

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1639758287

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2249583
LAB Type	Independent
Facility Name	AMERICAN HEALTH IMAGING OF MT PLEASANT
Street	1117 HIGHWAY 41 SUITE 103
City	MT PLEASANT
State	SC
ZIP	29466
Phone	843 999-0097
CertificateType	4
CertificateEffectiveDate	1/21/2024
CertificateExpirationDate	1/20/2026
FacilityType	Waiver

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