45D1069159 CLIA NUMBER - TEXAS DIAGNOSTIC IMAGING,PA

Laboratory Demographics

  • CLIA Code: 45D1069159
  • Facility Name: TEXAS DIAGNOSTIC IMAGING,PA
  • Facility Address: 5508 W PLANO, PKWY , SUITE 200
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 612-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOOHI LEE
  • NPI Number: 1740752211
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1069159
LAB Type Physician Office
Facility Name TEXAS DIAGNOSTIC IMAGING,PA
Street 5508 W PLANO, PKWY , SUITE 200
City PLANO
State TX
ZIP 75093
Phone 972 612-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director DOOHI LEE

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