# FAR WEST IMAGING LP

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

## Provider details

- **NPI number:** 1760140347
- **Authorized official:** MR. KENNETH LAN (ADMINISTRATOR)
- **Authorized official phone:** (210) 299-7600

## Contact information

- **Practice address:** 3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
- **Practice address phone:** (512) 373-3615
- **Practice address fax:** (512) 373-3452
- **Mailing address:** 3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
- **Mailing address phone:** (512) 373-3615
- **Mailing address fax:** (512) 373-3452

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 12/16/2022