Organization
METRO IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SMITH IV (CFO)
(314) 333-6725
Entity
Organization
Contact information
Practice address
11615 OLIVE BOULEVARD, CREVE COEUR, MO 63141
(314) 993-9555
(314) 993-9550
Mailing address
11615 OLIVE BLVD, SAINT LOUIS, MO 63141-7274
(314) 993-9555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010625
ESSENCE HEALTHCARE
MO
01
—
0006015396
BLUE CROSS & BLUE SHIELD
IL
01
—
12261X12261
HEALTHCARE USA GROUP NUMB
MO
01
—
140091100
US DEPARTMENT OF LABOR
MO
01
—
1601369
UNITED HEALTHCARE
MO
01
—
184965
BLUE CROSS & BLUE SHIELD
MO
01
—
251201
HEALTHLINK GROUP NUMBER
MO
01
—
266417
FEDERAL BLACK LUNG
MO
01
—
27190
GROUP HEALTH PLAN
MO
01
—
326978
HEALTHLINK GROUP NUMBER
MO
01
—
375706
HEALTHLINK GROUP NUMBER
MO
01
—
434256
HEALTHLINK GROUP NUMBER
MO
01
—
613714
HEALTHLINK GROUP NUMBER
MO
05
—
711435800
—
MO
01
—
8351085
AETNA GROUP NUMBER
MO
Enumeration date
10/04/2006
Last updated
06/21/2023
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