44D2097035 CLIA NUMBER - WEST TENNESSEE IMAGING LLC DBA THE IMAGING CENTER AT WOLF RIVER

Laboratory Demographics

  • CLIA Code: 44D2097035
  • Facility Name: WEST TENNESSEE IMAGING LLC DBA THE IMAGING CENTER AT WOLF RIVER
  • Facility Address: 7600 WOLF RIVER BLVD, SUITE 100
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 312-4033
  • Facility Type: Other - OUTPATIENT IMAGING FACILI
  • Facility Type: Waiver
  • Lab Director: DEXTER H. WITTE III
  • NPI Number: 1912395708
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2097035
LAB Type Other - OUTPATIENT IMAGING FACILI
Facility Name WEST TENNESSEE IMAGING LLC DBA THE IMAGING CENTER AT WOLF RIVER
Street 7600 WOLF RIVER BLVD, SUITE 100
City GERMANTOWN
State TN
ZIP 38138
Phone 901 312-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Other - OUTPATIENT IMAGING FACILI
Lab Director DEXTER H. WITTE III

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