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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417017195 | NPPES |
| Texas | MEDICAID | 121715001 | |
| Texas | MEDICAID | 121715002 |
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