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Organization
ARA/ST. DAVID'S IMAGING, LP
Active
Organization
ARA/ST. DAVID'S IMAGING, LP
Active
Other names
ARA Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
2120 N MAYS ST, SUITE 220, ROUND ROCK, TX 78664-2192
(512) 238-7195
(512) 218-6558
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 519-3451
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R28983
TX
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170887702
—
TX
01
—
P00198399
RAILROAD MEDICARE
TX
Enumeration date
12/28/2005
Last updated
07/10/2024
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