# ROCKDALE BLACKHAWK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little River Healthcare Bastrop Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427353770
- **Authorized official:** JEFFREY P MADISON (OWNER)
- **Authorized official phone:** (512) 446-4500

## Contact information

- **Practice address:** 3101 HIGHWAY 71 E, SUITE 108, BASTROP, TX 78602-5156
- **Practice address phone:** (512) 332-0222
- **Mailing address:** 3101 HIGHWAY 71 E, SUITE 108, BASTROP, TX 78602-5156
- **Mailing address phone:** (512) 332-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 05/14/2015