Active NPI
Metrowest Ultrasound LLC
- Diagnostic Ultrasound Physician
- Natick, MA
National Provider Identifier
1194349936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- METROWEST ULTRASOUND LLC
- Practice address
- 67 Union St
Medical Office Building Suite 306
Natick, MA 01760-7700 - Phone
- (508) 333-7333
- Fax
- (508) 463-4639
- NPI assigned
- Jun 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Youssef H Mina, MB,CHB, RDMS
- Title
- Manager
- Phone
- (508) 333-7333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
67 Union St
Medical Office Building Suite 306
Natick, MA 01760-7700
Mailing address
102 Heritage Ave
Ashland, MA 01721-3007
Phone (508) 333-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972125102 | Other | MA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201117001591 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0345651634 | Practice locations: Natick, MA |
National Provider Directory
National Provider DirectoryLocations
67 Union St
Ste 309
Natick, MA 01760
Phone (508) 383-4576
67 Union St
Ofc
Natick, MA 01760
Phone (508) 333-7333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Natick, MA
- NPI 1972125102
-
- Sonography Radiologic Technologist
- Weymouth, MA
- NPI 1902650039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1194349936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HERITAGE AVE",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017213007",
"telephone_number": "508-333-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "MEDICAL OFFICE BUILDING SUITE 306",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-333-7333",
"fax_number": "508-463-4639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROWEST ULTRASOUND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-06",
"last_updated": "2023-06-06",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "MINA",
"authorized_official_first_name": "YOUSSEF",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "508-333-7333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MB,CHB, RDMS"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1972125102",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.