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General NPI Number Information
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NPI Number | 1316217854
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Entity Type | Organization
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Legal Business Name | METRIC DIAGNOSTIC TESTING, INC
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 4481 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5876
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Country | US
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Telephone | 800-978-1232
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Fax | 954-530-3068
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Provider Business Mailing Address
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Address Line | PO BOX 597
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City | HALLANDALE
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State | FL
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Zip | 33008-0597
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Country | US
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Telephone | 786-554-1701
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Fax | 561-330-3810
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND ROBERTY
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Credential |
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Telephone | 954-900-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | OS5930
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License Number State | FL
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