Active NPI
Metrostat Diagnostic Services Inc
- Mobile Radiology Clinic/Center
- Garland, TX
National Provider Identifier
1841335429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- R29742
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179003202 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.