Active NPI
Metro MRI Center, Limited Partnership
- Radiology Clinic/Center
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- METRO MRI CENTER, LIMITED PARTNERSHIP
- Practice address
- 615 Valley View Dr
Moline, IL 61265-6150 - Phone
- (815) 315-1718
- NPI assigned
- Dec 15, 2005
- 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
- Karen Marie Vaughn
- Title
- Authorized Official
- Phone
- (629) 317-1465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
615 Valley View Dr
Moline, IL 61265-6150
Mailing address
PO Box 4630
Rock Island, IL 61204-4630
Phone (815) 315-1718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050809000220 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9032109889 | Practice locations: Moline, IL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Metro MRI Center Limited Partnership
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Moline, IL
- NPI 1205812831
-
- Radiology Clinic/Center
- Moline, IL
- NPI 1700862331
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Moline, IL
- NPI 1558353581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1245216860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4630",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612044630",
"telephone_number": "815-315-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656150",
"telephone_number": "815-315-1718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MRI CENTER, LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "629-317-1465"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.