49D2271021 CLIA NUMBER - SENTARA ADVANCED IMAGING SOLUTIONS-CHARLOTTESVILLE

Laboratory Demographics

CLIA Number: 49D2271021

Facility Name: SENTARA ADVANCED IMAGING SOLUTIONS-CHARLOTTESVILLE

Facility Address:
920 EAST HIGH STREET, SUITE 001
CHARLOTTESVILLE, VA
ZIP 22902
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Facility Phone Number: 434 654-1980

Facility Type: Other - ADVANCED IMAGING-IDTF

Certificate Type: Waiver

NPI Number: 1144941808

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	49D2271021
LAB Type	Other - ADVANCED IMAGING-IDTF
Facility Name	SENTARA ADVANCED IMAGING SOLUTIONS-CHARLOTTESVILLE
Street	920 EAST HIGH STREET, SUITE 001
City	CHARLOTTESVILLE
State	VA
ZIP	22902
Phone	434 654-1980
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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