METRO IMAGING LLC NPI 1760578496

NPI Information

NPI: 1760578496
Provider Name: METRO IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D2026891

Address:
11615 OLIVE BOULEVARD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 993-9555
Get Directions

METRO IMAGING, LLC is a diagnostic radiology radiology in Creve Coeur, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. METRO IMAGING, LLC NPI is 1760578496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11615 OLIVE BOULEVARD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 993-9555
Fax: (314) 993-9550

The provider's authorized official is James Smith .
The authorized official title is Cfo and has the following contact phone number (314) 333-6725.

The CLIA number assigned to this NPI record is 26D2026891 - other - outpt radiology clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/21/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	326978	OTHER	MISSOURI	HEALTHLINK GROUP NUMBER
2	613714	OTHER	MISSOURI	HEALTHLINK GROUP NUMBER
3	0006015396	OTHER	ILLINOIS	BLUE CROSS & BLUE SHIELD
4	184965	OTHER	MISSOURI	BLUE CROSS & BLUE SHIELD
5	434256	OTHER	MISSOURI	HEALTHLINK GROUP NUMBER
6	12261X12261	OTHER	MISSOURI	HEALTHCARE USA GROUP NUMB
7	27190	OTHER	MISSOURI	GROUP HEALTH PLAN
8	251201	OTHER	MISSOURI	HEALTHLINK GROUP NUMBER
9	375706	OTHER	MISSOURI	HEALTHLINK GROUP NUMBER
10	8351085	OTHER	MISSOURI	AETNA GROUP NUMBER
11	140091100	OTHER	MISSOURI	US DEPARTMENT OF LABOR
12	1601369	OTHER	MISSOURI	UNITED HEALTHCARE
13	000000010625	OTHER	MISSOURI	ESSENCE HEALTHCARE
14	266417	OTHER	MISSOURI	FEDERAL BLACK LUNG
15	711435800	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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