45D1054777 CLIA NUMBER - HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING AT SOUTHLAKE

Laboratory Demographics

  • CLIA Code: 45D1054777
  • Facility Name: HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING AT SOUTHLAKE
  • Facility Address: 525 E SOUTHLAKE BOULEVARD
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 424-5872
  • Facility Type: Other - IDTF DIAGNOSTIC RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: PAUL K. FROBERG
  • NPI Number: 1023439767
  • Taxonomy: 293D00000X - Physiological Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1054777
LAB Type Other - IDTF DIAGNOSTIC RADIOLOGY
Facility Name HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING AT SOUTHLAKE
Street 525 E SOUTHLAKE BOULEVARD
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 424-5872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Other - IDTF DIAGNOSTIC RADIOLOGY
Lab Director PAUL K. FROBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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