NPIMap

Organization Active NPI

Midtown Medical Imaging Limited

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1972937027
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MIDTOWN MEDICAL IMAGING LIMITED
Practice address
900 Jerome St Ste 104
Fort Worth, TX 76104-3937
Phone
(817) 768-5317
Fax
(817) 920-9992
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Brad Scoble
Title
Member
Phone
(817) 768-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

900 Jerome St Ste 104
Fort Worth, TX 76104-3937

Mailing address

900 Jerome St Ste 104
Fort Worth, TX 76104-3937
Phone (817) 768-5317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302000551 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5092010975 Practice locations: Fort Worth, 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
45D2072255Midtown Medical Imaging900 Jerome St, Ste 104, Fort Worth, TX 76104Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

900 Jerome St
Ste 104
Fort Worth, TX 76104
Phone (817) 768-5317

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1972937027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043937",
            "telephone_number": "817-768-5317",
            "fax_number": "817-920-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043937",
            "telephone_number": "817-768-5317",
            "fax_number": "817-920-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN MEDICAL IMAGING LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SCOBLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-768-5317"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.