45D2181925 CLIA NUMBER - D-RAD MOBILE IMAGING SERVICES

Laboratory Demographics

CLIA Code: 45D2181925
Facility Name: D-RAD MOBILE IMAGING SERVICES
Facility Address: 1387 GEORGE DIETER STE 105 - D
EL PASO, TX
ZIP 79936
Facility Phone: 915 500-5808
Facility Type: Independent
Facility Type: Waiver
Lab Director: RAFAEL RODRIGUEZ
NPI Number: 1861978751
Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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CLIA Record

Field Name	Field Value
CLIA Number	45D2181925
LAB Type	Independent
Facility Name	D-RAD MOBILE IMAGING SERVICES
Street	1387 GEORGE DIETER STE 105 - D
City	EL PASO
State	TX
ZIP	79936
Phone	915 500-5808
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/18/2024
Certificate Expiration Date	3/17/2026
Facility Type	Independent
Lab Director	RAFAEL RODRIGUEZ

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