Metropolitan Diagnostics PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC6776 Issued in FL

Legal business name

METROPOLITAN DIAGNOSTICS PA

Practice address

12797 W Forest Hill Blvd Ste B
Wellington, FL 33414-4763

Phone

(561) 358-8462

Fax

(561) 792-0217

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Ronald H Tietjen

Title

President

Phone

(561) 358-8462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1417121690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12797 W FOREST HILL BLVD STE B",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144763",
            "telephone_number": "561-358-8462",
            "fax_number": "561-792-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12797 W FOREST HILL BLVD STE B",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144763",
            "telephone_number": "561-358-8462",
            "fax_number": "561-792-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DIAGNOSTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "TIETJEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-358-8462"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC6776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yissel Mesa Martinez
• Ariel Mesa Sarmiento, MD
• Kristy Lynn Messer, PHARM.D.
• Matthew Cody Messina, PA-C
• Elnoude Metesier, BA
• Judianna Meyers-Sinett
• MGC Health Solutions LLC
• Tristan Miceli, D.C.
• Michael E. Belotti, D.O., P.a.
• Michael G. Mauck, D.M.D., P.a.

• Health Service Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.