Mopac Imaging, LP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MOPAC IMAGING, LP

Practice address

3742 Far West Blvd Ste 109
Austin, TX 78731-3044

Phone

(512) 372-1062

Fax

(512) 372-1064

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Lan

Title

Administrator

Phone

(210) 660-3001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1972084432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 FAR WEST BLVD STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313044",
            "telephone_number": "512-372-1062",
            "fax_number": "512-372-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 FAR WEST BLVD STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313044",
            "telephone_number": "512-372-1062",
            "fax_number": "512-372-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOPAC IMAGING, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-660-3001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Moorman, M.S., SLP-INTERN
• Noah Jacob Moos, D.C.
• Aquilla B Moosani, M.D
• Elizabeth Moose, L.AC.
• James Michael Moossy, DDS
• Marie C Mopsik, RDN, CDCES
• Nadav Mor, M.D.
• Elizabeth Mora, CRNA
• Jose Mora, DC
• Maximo Mora Jr., PT

• 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 Aug 29, 2022; 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.