Metrostat Diagnostic Services Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

R29742 Issued in TX

Legal business name

METROSTAT DIAGNOSTIC SERVICES INC

Practice address

325 Gold St
#100
Garland, TX 75042-6658

Phone

(972) 205-1144

Fax

(972) 205-1115

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey E Felts, RVT, RDMSNPI 1255359519

Title

President

Phone

(972) 205-1144

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 45X0009902

Legal name

METROSTAT DIAGNOSTIC SERVICES INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Feb 21, 2006

Last certification

Mar 23, 2015

Ownership / control type

CORPORATION

Facility address

325 Gold Street Suite 100
Garland, TX 75042

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey E Felts, RVT, RDMS

  • Radiologic Technologist
  • Garland, TX
  • NPI 1255359519
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1144254186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GOLD ST",
            "address_2": "#100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426658",
            "telephone_number": "972-205-1144",
            "fax_number": "972-205-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GOLD ST",
            "address_2": "#100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426658",
            "telephone_number": "972-205-1144",
            "fax_number": "972-205-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROSTAT DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-205-1144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT, RDMS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R29742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "459902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179003201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Garland, TX
• Providers in Garland, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.