45D2152610 CLIA NUMBER - NORTH STAR DIAGNOSTICS IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 45D2152610
  • Facility Name: NORTH STAR DIAGNOSTICS IMAGING, LLC
  • Facility Address: 3700 W 15TH STREET, BLDG D STE 200
    PLANO, TX
    ZIP 75075
  • Facility Phone: 469 347-3988
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: JEREMY CLARK
  • NPI Number: 1467787739
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2152610
LAB Type Other - IMAGING CENTER
Facility Name NORTH STAR DIAGNOSTICS IMAGING, LLC
Street 3700 W 15TH STREET, BLDG D STE 200
City PLANO
State TX
ZIP 75075
Phone 469 347-3988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - IMAGING CENTER
Lab Director JEREMY CLARK

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