NPIMap

Ara/St. David'S Imaging, LP

Organization Active NPI Mobile Radiology Clinic/Center · Austin, TX

NPI 1851570592 · NPPES record last updated Jul 10, 2024

Key facts

NPI
1851570592
Entity type
Organization (NPI type 2)
Primary specialty
Mobile Radiology Clinic/Center 261QR0208X
License
L05862 (TX)
Legal business name
ARA/ST. DAVID'S IMAGING, LP
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 519-3443
Fax
(512) 519-3451
NPI assigned
Oct 30, 2007
Organization subpart
No

Authorized official

Name
Sharlee Lebleu
Title
Vice President
Phone
(480) 321-7026

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

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

Practitioners 141

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

View all 141

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080220000532 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8426001496 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X L05862 TX Yes

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers

IdentifierTypeStateIssuer
196306801MedicaidTX

Other names

  • ARA Imaging Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 10, 2024.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1851570592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-519-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-519-3443",
            "fax_number": "512-519-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA/ST. DAVID'S IMAGING, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "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": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TX",
            "license": "L05862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196306801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARA Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARA Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

All providers in Austin, TX · Mobile Radiology Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.