MIDTOWN MEDICAL IMAGING - ALLIANCE NPI 1629527312

NPI Information

MIDTOWN MEDICAL IMAGING - ALLIANCE is a radiology clinic center in Fort Worth, TX. MIDTOWN MEDICAL IMAGING - ALLIANCE NPI is 1629527312. The provider is registered as an organization entity type.

The provider's business location address is:

9557 N. BEACH ST.
SUITE 101
FORT WORTH, TX
ZIP 76244
Phone: (817) 768-5317
Fax: (817) 920-9992

The provider's authorized official is Brad Scoble .
The authorized official title is Owner/managing Partner and has the following contact phone number (817) 768-5317.

The CLIA number assigned to this NPI record is 45D2126525 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 8/15/2017.

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:

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