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General NPI Number Information
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NPI Number | 1760578496
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Entity Type | Organization
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Legal Business Name | METRO IMAGING, LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 11615 OLIVE BOULEVARD
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City | CREVE COEUR
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-993-9555
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Fax | 314-993-9550
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Provider Business Mailing Address
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Address Line | 11615 OLIVE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7274
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Country | US
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Telephone | 314-993-9555
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES SMITH IV
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Credential |
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Telephone | 314-333-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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