45D1086763 CLIA NUMBER - GATEWAY DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 45D1086763
  • Facility Name: GATEWAY DIAGNOSTIC IMAGING
  • Facility Address: 9155 GRAPEVINE HWY, SUITE 210
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 214 428-3929
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: RYAN E. BATHISH
  • NPI Number: 1053462655
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1086763
LAB Type Health Main. Organization
Facility Name GATEWAY DIAGNOSTIC IMAGING
Street 9155 GRAPEVINE HWY, SUITE 210
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 214 428-3929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Health Main. Organization
Lab Director RYAN E. BATHISH

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