ROCKDALE BLACKHAWK LLC NPI 1962707216

NPI Information

NPI: 1962707216
Provider Name: ROCKDALE BLACKHAWK LLC

Doing Business As: LITTLE RIVER HEALTHCARE GEORGETOWN IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1528 LEANDER RD
SUITE 102
GEORGETOWN, TX
ZIP 78628
Phone: (512) 863-0782
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ROCKDALE BLACKHAWK LLC is a radiology clinic center in Georgetown, TX. ROCKDALE BLACKHAWK LLC NPI is 1962707216. The provider is registered as an organization entity type.
The provider Is Doing Business As Little River Healthcare Georgetown Imaging.

The provider's business location address is:

1528 LEANDER RD
SUITE 102
GEORGETOWN, TX
ZIP 78628-801
Phone: (512) 863-0782

The provider's authorized official is Jeffrey P Madison .
The authorized official title is Ceo and has the following contact phone number (512) 446-4500.

The enumeration date for this NPI number is 1/18/2011 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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