50D2001524 CLIA NUMBER - BELLEVUE MEDICAL IMAGING PLLC

Laboratory Demographics

  • CLIA Code: 50D2001524
  • Facility Name: BELLEVUE MEDICAL IMAGING PLLC
  • Facility Address: 1400 116TH AVE NE
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: (425) 454-1700
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: BRIAN JACOBS
  • NPI Number: 1063606309
  • Taxonomy: 247100000X - Radiologic Technologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2001524
LAB Type Other - CLINIC
Facility Name BELLEVUE MEDICAL IMAGING PLLC
Street 1400 116TH AVE NE
City BELLEVUE
State WA
ZIP 98004
Phone 4254541700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2009
Certificate Expiration Date 4/4/2028
Facility Type Other - CLINIC
Lab Director BRIAN JACOBS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026