OPEN DIAGNOSTIC IMAGING LLC


Address: 10644 Indigo Broom Loop, Austin, TX 78733
Phone: 9725961934

OPEN DIAGNOSTIC IMAGING LLC (NPI# 1144356825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144356825
Entity Type Organization
Organization Name OPEN DIAGNOSTIC IMAGING LLC
Other Organization Name WILLOWBEND DIAGNOSTIC IMAGING
Practice Address 10644 Indigo Broom Loop
Austin
TX 78733
Mailing Address Po Box 1888
Greenville
TX 75403
Practice Telephone 9725961934
Practice Fax Number 9725964934
Mailing Telephone 8009452455
Mailing Fax Number 9034532541
Enumeration Date 2007-02-26
Last Update Date 2020-08-22
Authorized Official Name CRAIG CUNNINGHAM (CHIEF OPERATOR)
Authorized Official Telephone 9725961934
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Willowbend Diagnostic Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750577847 Open Diagnostic Imaging LLC Clinic/Center 10537 S 92nd East Circle, Tulsa, OK 74133 2007-09-21

Office Location

Street Address 10644 INDIGO BROOM LOOP
City AUSTIN
State TX
Zip Code 78733

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740390335 American Radiology Consultants, Pllc Clinic/Center 10644 Indigo Broom Loop, Austin, TX 78755 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700400850 Falconhead Surgery Center LLC Clinic/Center 14425 Falconhead Blvd, Bldf. F, Ste. 111, Austin, TX 78733 2020-06-04
1356897557 Meril Gilbert Occupational Therapist 9433 Bee Caves Road Bldg 3 Ste 101, Austin, TX 78733 2016-08-28
1154567345 Big Sky Pediatric Therapy Clinic/Center 9433 Bee Cave Rd, B3 Ste 101, Austin, TX 78733 2008-12-18
1255600946 Yasmin Rios-schultz Speech-Language Pathologist 9804 Inca Ln, Austin, TX 78733-1023 2011-12-25
1417563784 Yasmin Rios-schultz Therapy LLC Clinic/Center 9804 Inca Ln, Austin, TX 78733-1023 2020-09-21
1669765707 Healing Tree Counseling Marriage & Family Therapist 2808 Mecca Rd, Austin, TX 78733-1033 2011-05-23
1831221258 Rhonda Ann Caffee Social Worker 2214 Saratoga Drive, Austin, TX 78733-1233 2007-03-12
1457844656 Jean Ann Graham Pharmacist 2503 Saratoga Dr, Austin, TX 78733-1240 2018-06-12
1639394877 Kimberly Anne Temple Specialist 2818 Saratoga Dr, Austin, TX 78733-1244 2007-04-14
1831414333 Sonja Dieterichs Ophthalmology 1102 Carlotta Ln, Austin, TX 78733-1527 2010-03-29
Find all providers in zip 78733

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619300431 Rapid Radiology, Inc. Radiology 6548 Comanche Trl Ste 501, Austin, TX 78732 2013-08-15
1609115138 Ctoa-central Texas Women's Imaging Center, Pllc Radiology 2220 Park Bend Dr, Building 2, Suite 301, Austin, TX 78758-5387 2013-02-04
1184982167 Anthony Karl Hasselbach Radiology 12554 Riata Vista, Austin, TX 78727-6431 2012-04-27
1952603334 Roy Keith Poth Radiology 15400 Fox Run Dr, Austin, TX 78737-8611 2010-11-17
1437391711 Brett Douglas Macadam Radiology 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 2009-04-01
1720245319 Michael Mario Di Iorio Radiology 5301a Davis Ln Ste 210, Austin, TX 78749-3961 2008-05-21
1497946677 Kristin Leigh Casey Radiology 12801 Hacienda Rdg, Austin, TX 78738-7652 2007-08-05
1407970841 Us Radiology Partners of Texas Inc Radiology 3704 Lagood St, Austin, TX 78730 2007-03-19
1063568335 John E. Crouch Radiology 8801 Bellancia Dr, Austin, TX 78738-7626 2007-01-26
1962410308 Balcones Imaging Consultants Pa Radiology 1205 Tamranae Ct., Austin, TX 78746-0032 2006-08-03
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Competitor

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City AUSTIN
Zip Code 78733

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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