45D2028782 CLIA NUMBER - GULF COAST MRI & DIAGNOSTIC SCARSDALE

Laboratory Demographics

  • CLIA Code: 45D2028782
  • Facility Name: GULF COAST MRI & DIAGNOSTIC SCARSDALE
  • Facility Address: 11034 SCARSDALE BLVD, SUITE A
    HOUSTON, TX
    ZIP 77089
  • Facility Phone: 281 481-1935
  • Facility Type: Other - FEESTANDING IMAGING CENTE
  • Facility Type: Waiver
  • Lab Director: JACK JANOE
  • NPI Number: 1427117423
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2028782
LAB Type Other - FEESTANDING IMAGING CENTE
Facility Name GULF COAST MRI & DIAGNOSTIC SCARSDALE
Street 11034 SCARSDALE BLVD, SUITE A
City HOUSTON
State TX
ZIP 77089
Phone 281 481-1935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Other - FEESTANDING IMAGING CENTE
Lab Director JACK JANOE

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