AUSTIN DIAGNOSTIC CLINIC PA NPI 1194790451

NPI Information

  • NPI: 1194790451
  • Provider Name: AUSTIN DIAGNOSTIC CLINIC, PA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: AUSTIN DIAGNOSTIC CLINIC
  • Address: 12221 MOPAC EXPRESSWAY NORTH
    DEPT OF IMAGING SERVICES
    AUSTIN, TX
    ZIP 78758
  • Phone: (512) 901-8729

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NPI Details

AUSTIN DIAGNOSTIC CLINIC, PA is a diagnostic radiology radiology in Austin, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. AUSTIN DIAGNOSTIC CLINIC, PA NPI is 1194790451. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin Diagnostic Clinic.

The provider's business location address is:

12221 MOPAC EXPRESSWAY NORTH
DEPT OF IMAGING SERVICES
AUSTIN, TX
ZIP 78758-483
Phone: (512) 901-8729
Fax: (512) 901-8755

The provider's authorized official is Ellen M Andrew .
The authorized official title is Credentialing Specialist and has the following contact phone number (512) 901-4937.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 11/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247100000XRadiologic TechnologistNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140347945MEDICAIDTEXAS
2CP9039MEDICARE PINTEXAS
300DG69MEDICARE PINTEXAS
40807840001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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