44D2240431 CLIA NUMBER - VASCULAR AND VEIN INSTITUTE OF THE SOUTH-MIDTOWN

Laboratory Demographics

  • CLIA Code: 44D2240431
  • Facility Name: VASCULAR AND VEIN INSTITUTE OF THE SOUTH-MIDTOWN
  • Facility Address: 1750 MADISON AVE 3RD FLOOR
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: 901 390-2930
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PRATEEK K. GUPTA
  • NPI Number: 1285839043
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2240431
LAB Type Physician Office
Facility Name VASCULAR AND VEIN INSTITUTE OF THE SOUTH-MIDTOWN
Street 1750 MADISON AVE 3RD FLOOR
City MEMPHIS
State TN
ZIP 38104
Phone 901 390-2930
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director DR. PRATEEK K. GUPTA

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This page was last updated on: 6/4/2025