Provider Demographics
NPI:1316217854
Name:METRIC DIAGNOSTIC TESTING, INC
Entity Type:Organization
Organization Name:METRIC DIAGNOSTIC TESTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-900-5500
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33008-0597
Mailing Address - Country:US
Mailing Address - Phone:786-554-1701
Mailing Address - Fax:561-330-3810
Practice Address - Street 1:4481 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5876
Practice Address - Country:US
Practice Address - Phone:800-978-1232
Practice Address - Fax:954-530-3068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5930335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC 8637OtherHEALTH CARE CLINIC