# MIDTOWN MEDICAL IMAGING - ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629527312
- **Authorized official:** MR. BRAD SCOBLE (OWNER/MANAGING PARTNER)
- **Authorized official phone:** (817) 768-5317

## Contact information

- **Practice address:** 9557 N. BEACH ST., SUITE 101, FORT WORTH, TX 76244
- **Practice address phone:** (817) 768-5317
- **Practice address fax:** (817) 920-9992
- **Mailing address:** 900 JEROME ST, SUITE 104, FORT WORTH, TX 76104-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 08/15/2017