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44D1091832 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING PC DBA CENTER FOR PELVIC HEALTH-ADVANCEDHEALTH

Laboratory Demographics

CLIA Number: 44D1091832

Facility Name: ADVANCED DIAGNOSTIC IMAGING PC DBA CENTER FOR PELVIC HEALTH-ADVANCEDHEALTH

Facility Address:
100 COVEY DRIVE, SUITE 205
FRANKLIN, TN
ZIP 37067
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Facility Phone Number: 615 284-4664

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518965029

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name Field Value
CLIA Number 44D1091832
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC IMAGING PC DBA CENTER FOR PELVIC HEALTH-ADVANCEDHEALTH
Street 100 COVEY DRIVE, SUITE 205
City FRANKLIN
State TN
ZIP 37067
Phone 615 284-4664
CertificateType 4
CertificateEffectiveDate 11/12/2022
CertificateExpirationDate 11/11/2024
FacilityType Waiver

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