Healthcare Provider Details

I. General information

NPI: 1700862331
Provider Name (Legal Business Name): METRO MRI CENTER LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 VALLEY VIEW DR
MOLINE IL
61265-6150
US

IV. Provider business mailing address

PO BOX 4030
ROCK ISLAND IL
61204-4030
US

V. Phone/Fax

Practice location:
  • Phone: 815-315-1718
  • Fax:
Mailing address:
  • Phone: 815-315-1718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN MARIE VAUGHN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 629-317-1465