44D2152961 CLIA NUMBER - PREMIER RADIOLOGY - ANTIOCH

Laboratory Demographics

  • CLIA Code: 44D2152961
  • Facility Name: PREMIER RADIOLOGY - ANTIOCH
  • Facility Address: 3754 MURFREESBORO PIKE, SUITE 102
    ANTIOCH, TN
    ZIP 37013
  • Facility Phone: 615 356-3999
  • Facility Type: Other - INDEPENDENT DIAGNOSTIC
  • Facility Type: Waiver
  • Lab Director: ASHLEE L. COLE
  • NPI Number: 1316305089
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2152961
LAB Type Other - INDEPENDENT DIAGNOSTIC
Facility Name PREMIER RADIOLOGY - ANTIOCH
Street 3754 MURFREESBORO PIKE, SUITE 102
City ANTIOCH
State TN
ZIP 37013
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 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Other - INDEPENDENT DIAGNOSTIC
Lab Director ASHLEE L. COLE

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