M.R.Diagnostic and Imaging Center,Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

M.R.DIAGNOSTIC AND IMAGING CENTER,INC

Practice address

6441 Enterprise LN Ste 211
Madison, WI 53719-1156

Phone

(213) 595-9545

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Ruelas

Title

President

Phone

(213) 595-9545

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053492611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 ENTERPRISE LN STE 211",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191156",
            "telephone_number": "213-595-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 ENTERPRISE LN STE 211",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191156",
            "telephone_number": "213-595-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.R.DIAGNOSTIC AND IMAGING CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUELAS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-595-9545"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Lyons, PT
• Kaylyn Utley Lyons, MB BCH
• Nicole Lyons, LCSW
• Pamela Lyons, REGISTERED NURSE
• Rhea J Lyons
• Mariel Ma, MD
• Vincent The-Luc Ma, MD
• Wing Yee Jackie Ma, PH.D.
• Xihe Ma, MS, LPC-IT
• Lucas Maakestad

• Clinical Medical Laboratory in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.