# ROCKDALE BLACKHAWK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little River Healthcare Georgetown Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962707216
- **Authorized official:** JEFFREY P MADISON (CEO)
- **Authorized official phone:** (512) 446-4500

## Contact information

- **Practice address:** 1528 LEANDER RD, SUITE 102, GEORGETOWN, TX 78628-8801
- **Practice address phone:** (512) 863-0782
- **Mailing address:** 1528 LEANDER RD, SUITE 102, GEORGETOWN, TX 78628-8801
- **Mailing address phone:** (512) 863-0782

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 05/14/2015