45D2207620 CLIA NUMBER - AV IMAGING, PLLC

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Laboratory Demographics

CLIA Number: 45D2207620

Facility Name: AV IMAGING, PLLC

Facility Address:
12920 UNIVERSITY BLVD SUITE 600
SUGAR LAND, TX
ZIP 77479
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Facility Phone Number: 281 406-0727

Facility Type: Other - OUTPATIENT RADIOLOGY

Certificate Type: Waiver

NPI Number: 1588292833

Taxonomy: 2085U0001X - Radiology
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

CLIA Record

Field Name	Field Value
CLIA Number	45D2207620
LAB Type	Other - OUTPATIENT RADIOLOGY
Facility Name	AV IMAGING, PLLC
Street	12920 UNIVERSITY BLVD SUITE 600
City	SUGAR LAND
State	TX
ZIP	77479
Phone	281 406-0727
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024