Pennsylvania Avenue Imaging Center

LBN: Radiology Associates Of North Texas Pa
Pennsylvania Avenue Imaging Center is an health care organization with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is the primary health care specialty. Radiology Associates Of North Texas Pa can be contacted via phone (817) 321-0312, or through Queralt, John A via phone (817) 321-0312.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 321-0312
Fax: (817) 317-7033
Website:
Map and Directions
Authorized official contact:
Name: Queralt, John A Doctor of Medicine (MD)
Phone: (817) 321-0312

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X Texas
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Texas
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X Texas
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Texas
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X Texas

Profile Details

NPI number 1417017195
LBN Legal business name Radiology Associates Of North Texas Pa
DBA Doing business as Pennsylvania Avenue Imaging Center
Authorized official Queralt, John A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417017195 NPPES
Texas MEDICAID 121715001
Texas MEDICAID 121715002

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