Provider Demographics
NPI:1982872214
Name:METRO IMAGING CENTER, LLC
Entity Type:Organization
Organization Name:METRO IMAGING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-641-1633
Mailing Address - Street 1:655 S GREAT SOUTHWEST PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1000
Mailing Address - Country:US
Mailing Address - Phone:972-641-1633
Mailing Address - Fax:972-660-3330
Practice Address - Street 1:655 S GREAT SOUTHWEST PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1000
Practice Address - Country:US
Practice Address - Phone:972-641-1633
Practice Address - Fax:972-660-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology