Organization Active NPI

Midtown Medical Imaging - Fort Worth, LLC

  • Radiology Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1033957667
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MIDTOWN MEDICAL IMAGING - FORT WORTH, LLC
Practice address
1320 Hemphill St Ste 120
Fort Worth, TX 76104-4714
Phone
(817) 768-5317
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bradley Scoble
Title
Owner/Managing Member
Phone
(817) 768-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1320 Hemphill St Ste 120
Fort Worth, TX 76104-4714

Mailing address

900 Jerome St Ste 104
Fort Worth, TX 76104-3939

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2333345Midtown Medical Imaging - Fort Worth1320 Hemphill St Suite 120, Fort Worth, TX 76104Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

1320 Hemphill St
Ste 120
Fort Worth, TX 76104
Phone (817) 768-5317

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1033957667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HEMPHILL ST STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044714",
            "telephone_number": "817-768-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN MEDICAL IMAGING - FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SCOBLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "817-768-5317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.