Austin Computer Diagnostics, LTD.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R11609 Issued in TX

Legal business name

AUSTIN COMPUTER DIAGNOSTICS, LTD.

Practice address

711 W 38TH St
Ste B-7
Austin, TX 78705-1121

Phone

(512) 454-9597

Fax

(512) 380-0295

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tara Martin

Title

Administrator

Phone

(512) 454-9598

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• River Ranch Radiology Doing business as

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1063428472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301749",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030030",
            "telephone_number": "512-454-9597",
            "fax_number": "512-380-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "STE B-7",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-454-9597",
            "fax_number": "512-380-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN COMPUTER DIAGNOSTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-454-9598",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R11609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170399302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Ranch Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Austin Concierge Therapy, Inc.
• Austin Cone Beam Imaging
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• Austin Counseling & Evaluation, LLP
• Austin Counseling and Healing Center PLLC

• Radiology Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.