49D2037241 CLIA NUMBER - DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING

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Laboratory Demographics

CLIA Number: 49D2037241

Facility Name: DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING

Facility Address:
310 3RD STREET, NE
NORTON, VA
ZIP 24273
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Facility Phone Number: 423 467-0050

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1124073903

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	49D2037241
LAB Type	Mobile Laboratory
Facility Name	DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING
Street	310 3RD STREET, NE
City	NORTON
State	VA
ZIP	24273
Phone	423 467-0050
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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