Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
Little River Healthcare Georgetown Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
1528 LEANDER RD, SUITE 102, GEORGETOWN, TX 78628-8801
(512) 863-0782
Mailing address
1528 LEANDER RD, SUITE 102, GEORGETOWN, TX 78628-8801
(512) 863-0782
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
05/14/2015
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