44D2140501 CLIA NUMBER - CHATTANOOGA IMAGING OOLTEWAH

Laboratory Demographics

  • CLIA Code: 44D2140501
  • Facility Name: CHATTANOOGA IMAGING OOLTEWAH
  • Facility Address: 9368 BRADMORE LANE
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 498-1411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARTIN D. SIMMS
  • NPI Number: 1134486855
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 44D2140501
LAB Type Physician Office
Facility Name CHATTANOOGA IMAGING OOLTEWAH
Street 9368 BRADMORE LANE
City OOLTEWAH
State TN
ZIP 37363
Phone 423 498-1411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director DR. MARTIN D. SIMMS

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