44D2152300 CLIA NUMBER - PREMIER RADIOLOGY - GALLATIN

Laboratory Demographics

  • CLIA Code: 44D2152300
  • Facility Name: PREMIER RADIOLOGY - GALLATIN
  • Facility Address: 110 ST BLAISE RD, SUITE 102
    GALLATIN, TN
    ZIP 37066
  • Facility Phone: 615 356-3999
  • Facility Type: Other - OUTPATIENT DIAGNOSTIC CTR
  • Facility Type: Waiver
  • Lab Director: ASHLEE L. COLE
  • NPI Number: 1053069559
  • Taxonomy: 261QR0206X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2152300
LAB Type Other - OUTPATIENT DIAGNOSTIC CTR
Facility Name PREMIER RADIOLOGY - GALLATIN
Street 110 ST BLAISE RD, SUITE 102
City GALLATIN
State TN
ZIP 37066
Phone 615 356-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Other - OUTPATIENT DIAGNOSTIC CTR
Lab Director ASHLEE L. COLE

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