45D2139745 CLIA NUMBER - ADVANCED IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 45D2139745
  • Facility Name: ADVANCED IMAGING CENTER
  • Facility Address: 411 N WASHINGTON AVENUE, SUITE 1000
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 972 560-3000
  • Facility Type: Other - OUTPATIENT IMAGING FACILI
  • Facility Type: Waiver
  • Lab Director: CHRISTINA MCSPEDDEN
  • NPI Number: 1275971616
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2139745
LAB Type Other - OUTPATIENT IMAGING FACILI
Facility Name ADVANCED IMAGING CENTER
Street 411 N WASHINGTON AVENUE, SUITE 1000
City DALLAS
State TX
ZIP 75246
Phone 972 560-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - OUTPATIENT IMAGING FACILI
Lab Director CHRISTINA MCSPEDDEN

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