45D2100101 CLIA NUMBER - PREFERRED IMAGING OF AUSTIN, LLC

Laboratory Demographics

  • CLIA Code: 45D2100101
  • Facility Name: PREFERRED IMAGING OF AUSTIN, LLC
  • Facility Address: 711 W 38TH ST STE B-1
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 420-0000
  • Facility Type: Other - IMAGING FACILITY
  • Facility Type: Waiver
  • Lab Director: MITCHELL R. ENDRES
  • NPI Number: 1437542818
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2100101
LAB Type Other - IMAGING FACILITY
Facility Name PREFERRED IMAGING OF AUSTIN, LLC
Street 711 W 38TH ST STE B-1
City AUSTIN
State TX
ZIP 78705
Phone 512 420-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2023
Certificate Expiration Date 8/6/2025
Facility Type Other - IMAGING FACILITY
Lab Director MITCHELL R. ENDRES

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This page was last updated on: 6/4/2025