44D1081977 CLIA NUMBER - PRIME IMAGING, LLC DBA PRIME IMAGING & VEIN CENTER - GUNBARREL

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Laboratory Demographics

CLIA Number: 44D1081977

Facility Name: PRIME IMAGING, LLC DBA PRIME IMAGING & VEIN CENTER - GUNBARREL

Facility Address:
1604 GUNBARREL ROAD
CHATTANOOGA, TN
ZIP 37421
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Facility Phone Number: 423 893-7226

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548289507

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	44D1081977
LAB Type	Physician Office
Facility Name	PRIME IMAGING, LLC DBA PRIME IMAGING & VEIN CENTER - GUNBARREL
Street	1604 GUNBARREL ROAD
City	CHATTANOOGA
State	TN
ZIP	37421
Phone	423 893-7226
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

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