44D1066699 CLIA NUMBER - PREMIER DIAGNOSTIC IMAGING PREMIER MEDICAL PARK-1ST & 2ND FLS

Laboratory Demographics

  • CLIA Code: 44D1066699
  • Facility Name: PREMIER DIAGNOSTIC IMAGING PREMIER MEDICAL PARK-1ST & 2ND FLS
  • Facility Address: 315 N WASHINGTON-#103 AND 209
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 528-1800
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. SETH MEANS
  • NPI Number: 1730130345
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1066699
LAB Type Other
Facility Name PREMIER DIAGNOSTIC IMAGING PREMIER MEDICAL PARK-1ST & 2ND FLS
Street 315 N WASHINGTON-#103 AND 209
City COOKEVILLE
State TN
ZIP 38501
Phone 931 528-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Other
Lab Director DR. SETH MEANS

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