45D2291057 CLIA NUMBER - MEDFINITY HEALTH IMAGING

Laboratory Demographics

CLIA Number: 45D2291057

Facility Name: MEDFINITY HEALTH IMAGING

Facility Address:
5085 W PARK BLVD STE 160
PLANO, TX
ZIP 75093
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Facility Phone Number: 469 437-3352

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336596097

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2291057
LAB Type	Physician Office
Facility Name	MEDFINITY HEALTH IMAGING
Street	5085 W PARK BLVD STE 160
City	PLANO
State	TX
ZIP	75093
Phone	469 437-3352
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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