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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
1701 W BEN WHITE BLVD, SUITE 170, AUSTIN, TX 78704-7667
(512) 428-9090
(512) 428-9864
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170887701
TX
01
P00198486
RAILROAD MEDICARE
TX
Enumeration date
12/28/2005
Last updated
07/10/2024
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