Active NPI
Midtown Medical Imaging - Fort Worth, LLC
- Radiology Clinic/Center
- Fort Worth, TX
National Provider Identifier
1033957667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2333345 | Midtown Medical Imaging - Fort Worth | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.