44D2004134 CLIA NUMBER - CHATTANOOGA IMAGING EAST

Laboratory Demographics

  • CLIA Code: 44D2004134
  • Facility Name: CHATTANOOGA IMAGING EAST
  • Facility Address: 1710 GUNBARREL RD
    CHATTANOOGA, TN
    ZIP 37421
  • Facility Phone: 423 553-1220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN D. SIMMS
  • NPI Number: 1760603666
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2004134
LAB Type Physician Office
Facility Name CHATTANOOGA IMAGING EAST
Street 1710 GUNBARREL RD
City CHATTANOOGA
State TN
ZIP 37421
Phone 423 553-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director MARTIN D. SIMMS

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