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44D0308202 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING, PC DBA LARRY D GURLEY MD

Laboratory Demographics

CLIA Number: 44D0308202

Facility Name: ADVANCED DIAGNOSTIC IMAGING, PC DBA LARRY D GURLEY MD

Facility Address:
300 20TH AVENUE NORTH SUITE 102
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 284-1500

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1144348509

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 44D0308202
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC IMAGING, PC DBA LARRY D GURLEY MD
Street 300 20TH AVENUE NORTH SUITE 102
City NASHVILLE
State TN
ZIP 37203
Phone 615 284-1500
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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