NPIMap

Organization Active NPI

Round Rock Imaging LLC

  • Radiology Clinic/Center
  • Round Rock, TX
National Provider Identifier
1093848699
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ROUND ROCK IMAGING LLC
Practice address
16000 Park Valley Dr
Suite 150
Round Rock, TX 78681-4008
Phone
(512) 828-3220
Fax
(512) 828-3222
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Toni Cooper
Title
Director of Credentialing
Phone
(754) 206-6198

Specialties & licenses 1

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

Addresses

Primary practice location

16000 Park Valley Dr
Suite 150
Round Rock, TX 78681-4008

Mailing address

8300 W Sunrise Blvd
Plantation, FL 33322-5406
Phone (800) 730-0050

Other names 1

  • Akumin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000672 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8820262207 Practice locations: Round Rock, TX

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
45D2022264Round Rock Imaging, LTD16000 Park Valley Dr #150, Round Rock, TX 78681Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16000 Park Valley Dr
Ste 130
Round Rock, TX 78681
Phone (512) 244-3422

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1093848699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225406",
            "telephone_number": "800-730-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PARK VALLEY DR",
            "address_2": "SUITE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814008",
            "telephone_number": "512-828-3220",
            "fax_number": "512-828-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND ROCK IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "754-206-6198"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akumin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.