Community Radiology Associates, PA

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

COMMUNITY RADIOLOGY ASSOCIATES, PA

Practice address

100 Medical Pkwy
Radiology Department
Lakeway, TX 78738-5621

Phone

(512) 820-8098

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Sharlee Lebleu

Title

Vice President

Phone

(480) 321-7026

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Community Radiology Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Radiology Associates, PA

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1487280210
  NPD tax ID

Locations

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1740729052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208534",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200686",
            "telephone_number": "888-372-4197",
            "fax_number": "210-614-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385621",
            "telephone_number": "512-820-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RADIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-321-7026"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165256201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Chaim Cohen, M.D.
• Michael Keith Cohen, M.D.
• Valerie Michele Cohen, PT
• Harrison Charles Coleman
• Megan Diane Coleman, FNP
• Complete Pulmonary Diagnostic Services, Inc. (Pulmonary Diagnostics)
• Leilani M Connors, P.T.
• Melinda Dawn Conroy, D.O.
• James Robert Cordoba, D.C.
• Bridget Correa

• Radiology Clinic/Center in Lakeway, TX
• Providers in Lakeway, 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 Jul 11, 2024; 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.