Organization Active NPI

Metrostat Diagnostic Services Inc

  • Mobile Radiology Clinic/Center
  • Garland, TX
National Provider Identifier
1841335429
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mr. Jeffrey E Felts, RDMS, RVT
Title
President
Phone
(972) 205-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X R29742 TX Primary

Addresses

Primary practice location

325 Gold St
#100
Garland, TX 75042-6658

Mailing address

325 Gold St
#100
Garland, TX 75042-6658
Phone (972) 205-1144

Other identifiers 1

IdentifierTypeStateIssuer
179003202MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1841335429",
    "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": "2007-02-21",
        "last_updated": "2012-04-20",
        "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": "RDMS, RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TX",
            "license": "R29742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179003202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.