44D0903784 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING PC DBA SUMMIT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D0903784
  • Facility Name: ADVANCED DIAGNOSTIC IMAGING PC DBA SUMMIT PRIMARY CARE
  • Facility Address: 3939 CENTRAL PIKE
    HERMITAGE, TN
    ZIP 37076
  • Facility Phone: 615 883-2331
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT B. GASTON JR
  • NPI Number: 1265985279
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D0903784
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC IMAGING PC DBA SUMMIT PRIMARY CARE
Street 3939 CENTRAL PIKE
City HERMITAGE
State TN
ZIP 37076
Phone 615 883-2331
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director ROBERT B. GASTON JR

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