# AUSTIN RADIOLOGICAL ASSOCIATION

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

## Provider details

- **NPI number:** 1710964655
- **Authorized official:** SHARLEE LEBLEU (VICE PRESIDENT)
- **Authorized official phone:** (480) 321-7026

## Contact information

- **Practice address:** 1348 HIGHWAY 123, SAN MARCOS, TX 78666-7848
- **Practice address phone:** (512) 392-1831
- **Practice address fax:** (512) 353-4528
- **Mailing address:** 12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
- **Mailing address phone:** (512) 795-5100
- **Mailing address fax:** (512) 519-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R00151 | TX | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | L05329 | TX | — |

## Other

- **Enumeration date:** 12/30/2005
- **Last updated:** 07/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 131020304 | — | TX |
| 05 | — | 203298901 | — | TX |
| 01 | — | CG5736 | RAILROAD MEDICARE | TX |