Provider Demographics
NPI:1033350236
Name:METROPOLITAN CARDIOVASCULAR DIAGNOSTICS INC
Entity type:Organization
Organization Name:METROPOLITAN CARDIOVASCULAR DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:RCS
Authorized Official - Phone:301-442-7718
Mailing Address - Street 1:5813 MARIETTA STATION DR
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9178
Mailing Address - Country:US
Mailing Address - Phone:301-442-7718
Mailing Address - Fax:301-464-3588
Practice Address - Street 1:5813 MARIETTA STATION DR
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9178
Practice Address - Country:US
Practice Address - Phone:301-442-7718
Practice Address - Fax:301-464-3588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00025532291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory