45D2049622 CLIA NUMBER - HEALTH IMAGING PARTNERS LLC DBA ENVISION IMAGING DESOTO

Laboratory Demographics

  • CLIA Code: 45D2049622
  • Facility Name: HEALTH IMAGING PARTNERS LLC DBA ENVISION IMAGING DESOTO
  • Facility Address: 3920 W WHEATLAND RD SUITE 120
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 972 820-8050
  • Facility Type: Other - OUTPATIENT DIAG IMAGING
  • Facility Type: Waiver
  • Lab Director: TONY PEREZ
  • NPI Number: 1275892341
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2049622
LAB Type Other - OUTPATIENT DIAG IMAGING
Facility Name HEALTH IMAGING PARTNERS LLC DBA ENVISION IMAGING DESOTO
Street 3920 W WHEATLAND RD SUITE 120
City DALLAS
State TX
ZIP 75237
Phone 972 820-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Other - OUTPATIENT DIAG IMAGING
Lab Director TONY PEREZ

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