Organization
FAR WEST IMAGING LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LAN (ADMINISTRATOR)
(210) 299-7600
Entity
Organization
Contact information
Practice address
3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
(512) 373-3615
(512) 373-3452
Mailing address
3742 FAR WEST BLVD STE 109, AUSTIN, TX 78731-3044
(512) 373-3615
(512) 373-3452
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/16/2022
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