METRO MRI CENTER LIMITED PARTNERSHIP NPI 1245216860

NPI Information

METRO MRI CENTER, LIMITED PARTNERSHIP is a radiology clinic center in Moline, IL. METRO MRI CENTER, LIMITED PARTNERSHIP NPI is 1245216860. The provider is registered as an organization entity type.

The provider's business location address is:

615 VALLEY VIEW DR
SUITE 102
MOLINE, IL
ZIP 61265-150
Phone: (309) 762-7227
Fax: (309) 762-7293

The provider's authorized official is Craig P. Tillman .
The authorized official title is President and has the following contact phone number (309) 762-1072.

The CLIA number assigned to this NPI record is 14D2188762 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 10/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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