45D2012316 CLIA NUMBER - HARDY OAK IMAGING CENTER

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Laboratory Demographics

CLIA Number: 45D2012316

Facility Name: HARDY OAK IMAGING CENTER

Facility Address:
18707 HARDY OAK STE 100
SAN ANTONIO, TX
ZIP 78258
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Facility Phone Number: 210 617-9550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952903197

Taxonomy: 207PE0004X - Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLIA Record

Field Name	Field Value
CLIA Number	45D2012316
LAB Type	Physician Office
Facility Name	HARDY OAK IMAGING CENTER
Street	18707 HARDY OAK STE 100
City	SAN ANTONIO
State	TX
ZIP	78258
Phone	210 617-9550
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024