RAMIC FORT WORTH LLC NPI 1871788224

NPI Information

NPI: 1871788224
Provider Name: RAMIC FORT WORTH, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D2078032

Address:
750 12TH AVE STE 100
FORT WORTH, TX
ZIP 76104
Phone: (817) 763-5900
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RAMIC FORT WORTH, LLC is a radiology clinic center in Fort Worth, TX. RAMIC FORT WORTH, LLC NPI is 1871788224. The provider is registered as an organization entity type.

The provider's business location address is:

750 12TH AVE STE 100
FORT WORTH, TX
ZIP 76104-531
Phone: (817) 763-5900
Fax: (817) 763-5858

The provider's authorized official is Rocky Lee Vig .
The authorized official title is Member and has the following contact phone number (214) 437-2309.

The CLIA number assigned to this NPI record is 45D2078032 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 5/18/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

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
1	APPLYING FOR MEDICAR	MEDICARE UPIN	TEXAS
2	FTX230	MEDICARE PIN	TEXAS
3	195662501	MEDICAID	TEXAS

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: 11/14/2023

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