Active NPI
Austin Positron Emission Tomography
Doing business as Austin PET & Imaging Center
- Diagnostic Radiology Physician
- Austin, TX
National Provider Identifier
1518928787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- AUSTIN POSITRON EMISSION TOMOGRAPHY
- Doing business as
- Austin PET & Imaging Center
- Practice address
- 11044 Research Blvd
Suite D100
Austin, TX 78759-5263 - Phone
- (512) 340-0963
- NPI assigned
- Mar 29, 2006
- Last updated
- Jan 31, 2008
- 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
- Chuck Peterson
- Title
- Operations Manager
- Phone
- (512) 340-0963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
11044 Research Blvd
Suite D100
Austin, TX 78759-5263
Mailing address
11044 Research Blvd
Suite D100
Austin, TX 78759-5263
Phone (512) 340-0963
Other names 1
- Austin PET & Imaging Center
National Provider Directory
National Provider DirectoryLocations
11044 Research Blvd
Ste D100
Austin, TX 78759
Phone (512) 340-0963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1518928787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11044 RESEARCH BLVD",
"address_2": "SUITE D100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595263",
"telephone_number": "512-340-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11044 RESEARCH BLVD",
"address_2": "SUITE D100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595263",
"telephone_number": "512-340-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN POSITRON EMISSION TOMOGRAPHY",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "512-340-0963"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin PET & Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.