Madison Imaging Llc in Fort Worth - Vascular & Interventional Radiology
Madison Imaging Llc - NPI 1497869507
Madison Imaging Llc is a Vascular & Interventional Radiology in Fort Worth, Texas. Madison Imaging Llc practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Madison Imaging Llc is 1497869507. The last update date is 2018-06-21.
Madison Imaging Llc's current location address is 816 W Cannon St, Fort Worth, Texas. You can contact this provider via phone number 8173210312 and fax number 8173177033. The mailing address for Madison Imaging Llc is 816 W Cannon St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Imaging Llc |
|---|---|
| Address | 816 W Cannon St, Fort Worth, Texas |
| Phone Number | 8173210312 |
| Fax Number | 8173177033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Parker C. Benton |
| Credentials | MD |
| Telephone Number | 6012006162 |
NPI Number Detail
| NPI Number | 1497869507 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 816 W Cannon St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761043146 |
| Phone Number | 8173210312 |
| Fax Number | 8173177033 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C03571 | MS | MEDICARE IDENTIFICATION |
Post Comment/ Review Below
What is the unique provider identifier assigned to Madison Imaging Llc?
The Madison Imaging Llc has been issued the NPI (National Provider Identifier) 1497869507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Madison Imaging Llc located?
The Madison Imaging Llc is located at 816 W Cannon St, Fort Worth, TX 761043146.
What is Madison Imaging Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Madison Imaging Llc is Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.
On what date did the Madison Imaging Llc receive its 1497869507 assignment from the Centers for Medicare & Medicaid Services?
The Madison Imaging Llc was assigned its 1497869507 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information pertaining to Madison Imaging Llc most recently updated or revised?
The details related to Madison Imaging Llc, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY