Metro Diagnostic Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

62-9106 Issued in MN

Legal business name

METRO DIAGNOSTIC IMAGING, LLC

Practice address

1997 Sloan PL Ste 23
Saint Paul, MN 55117-2051

Phone

(651) 800-4818

Fax

(651) 800-4819

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William J Davison Jr., D.C.NPI 1336252303

Title

President

Phone

(651) 216-6330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William James Davison Jr., D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1336252303
  NPD Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1952717852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 SLOAN PL STE 23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172051",
            "telephone_number": "651-800-4818",
            "fax_number": "651-800-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SLOAN PL STE 23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172051",
            "telephone_number": "651-800-4818",
            "fax_number": "651-800-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-216-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MN",
            "license": "62-9106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metro Medical Supply, Inc
• Metro Pca Services, Inc.

• Mobile Radiology Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mobile Radiology Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.