Provider Demographics
NPI:1497183198
Name:METROPOLITAN DIAGNOSTICS
Entity Type:Organization
Organization Name:METROPOLITAN DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:REV.EBENEZER
Authorized Official - Middle Name:FOLAYAN
Authorized Official - Last Name:ALABI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:817-770-1945
Mailing Address - Street 1:415 E AIRPORT FWY
Mailing Address - Street 2:SUITE 370
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6351
Mailing Address - Country:US
Mailing Address - Phone:972-255-8888
Mailing Address - Fax:
Practice Address - Street 1:415 E AIRPORT FWY
Practice Address - Street 2:SUITE 370
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6351
Practice Address - Country:US
Practice Address - Phone:972-255-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory