METROPOLITAN DIAGNOSTIC IMAGING NPI 1518131606

NPI Information

NPI: 1518131606
Provider Name: METROPOLITAN DIAGNOSTIC IMAGING

Doing Business As: AMIC MERRIONETTE PARK

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11600 S KEDZIE AVE
MERRIONETTE PARK, IL
ZIP 60803
Phone: (708) 377-3730
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METROPOLITAN DIAGNOSTIC IMAGING is a diagnostic radiology radiology in Merrionette Park, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. METROPOLITAN DIAGNOSTIC IMAGING NPI is 1518131606. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amic Merrionette Park.

The provider's business location address is:

11600 S KEDZIE AVE
MERRIONETTE PARK, IL
ZIP 60803-302
Phone: (708) 377-3730

The provider's authorized official is Michelle Smith .
The authorized official title is Acct Receivable and has the following contact phone number (312) 807-3550.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/20/2008.

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	253810	MEDICARE PIN	ILLINOIS
2	21621866	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
3	=========003	MEDICAID	ILLINOIS

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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