# ARA/ST. DAVID'S IMAGING, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARA Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720065170
- **Authorized official:** SHARLEE LEBLEU (VICE PRESIDENT)
- **Authorized official phone:** (480) 321-7026

## Contact information

- **Practice address:** 2120 N MAYS ST, SUITE 220, ROUND ROCK, TX 78664-2192
- **Practice address phone:** (512) 238-7195
- **Practice address fax:** (512) 218-6558
- **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 | R28983 | TX | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 07/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 170887702 | — | TX |
| 01 | — | P00198399 | RAILROAD MEDICARE | TX |
