Organization
METROSTAT DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E FELTS RVT, RDMS (PRESIDENT)
(972) 205-1144
Entity
Organization
Contact information
Practice address
325 GOLD ST, #100, GARLAND, TX 75042-6658
(972) 205-1144
(972) 205-1115
Mailing address
325 GOLD ST, #100, GARLAND, TX 75042-6658
(972) 205-1144
(972) 205-1115
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R29742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179003201
—
TX
01
—
459902
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
07/10/2006
Last updated
12/09/2013
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