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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for AUSTIN DIAGNOSTIC CLINIC, PA

NPI Number 1194790451
LBN Legal business name AUSTIN DIAGNOSTIC CLINIC, PA
Authorized official ELLEN ANDREW - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2006
Last updated 11/16/2010 - About 16 years ago
Identifiers
TX Medicaid 140347945
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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