44D2033474 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING, PC

Laboratory Demographics

  • CLIA Code: 44D2033474
  • Facility Name: ADVANCED DIAGNOSTIC IMAGING, PC
  • Facility Address: 1609 ROSEWOOD DRIVE
    COLUMBIA, TN
    ZIP 38401
  • Facility Phone: 931 388-8802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD D. KENNEDY
  • NPI Number: 1336454511
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2033474
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC IMAGING, PC
Street 1609 ROSEWOOD DRIVE
City COLUMBIA
State TN
ZIP 38401
Phone 931 388-8802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director DR. RICHARD D. KENNEDY

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