Organization
WATERLOO IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FLUITT MD (MANAGER)
(512) 448-3278
Entity
Organization
Contact information
Practice address
4316 JAMES CASEY ST # F-110A, AUSTIN, TX 78745-1116
(512) 448-3278
Mailing address
4316 JAMES CASEY ST # F-110A, AUSTIN, TX 78745-1116
(512) 448-3278
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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