National Provider Identifier Database

AUSTIN DIAGNOSTIC CLINIC PA
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

AUSTIN DIAGNOSTIC CLINIC, PA
12221 MOPAC EXPRESSWAY NORTH
DEPT OF IMAGING SERVICES
AUSTIN, TX78758-2483
Phone: 512-901-8729
Fax: 512-901-8755
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for AUSTIN DIAGNOSTIC CLINIC, PA

NPI Number 1194790451
Legal business name
LBN
AUSTIN DIAGNOSTIC CLINIC, PA
Authorized official ELLEN ANDREW - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/21/2006
Last updated 11/16/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 140347945

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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