| Midtown Medical Imaging - Alliance | |
|
9557 N. Beach St. Suite 101 Fort Worth TX 76244 | |
| (817) 768-5317 | |
| (817) 920-9992 |
| Full Name | Midtown Medical Imaging - Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 9557 N. Beach St., Fort Worth, Texas |
| Authorized Official Name and Position | Brad Scoble (OWNER/MANAGING PARTNER) |
| Authorized Official Contact | 8177685317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Medical Imaging - Alliance 900 Jerome St Suite 104 Fort Worth TX 76104-3945 Ph: () - | Midtown Medical Imaging - Alliance 9557 N. Beach St. Suite 101 Fort Worth TX 76244 Ph: (817) 768-5317 |
| NPI Number | 1629527312 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 08/15/2017 |
| Medicare PECOS PAC ID | 6204104706 |
|---|---|
| Medicare Enrollment ID | O20170623001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629527312 | NPI | - | NPPES |
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