Organization
MIDTOWN MEDICAL IMAGING - ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD SCOBLE (OWNER/MANAGING PARTNER)
(817) 768-5317
Entity
Organization
Contact information
Practice address
9557 N. BEACH ST., SUITE 101, FORT WORTH, TX 76244
(817) 768-5317
(817) 920-9992
Mailing address
900 JEROME ST, SUITE 104, FORT WORTH, TX 76104-3945
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
08/15/2017
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