WATERLOO IMAGING LLC (NPI# 1407264369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407264369 |
| Entity Type | Organization |
| Organization Name | WATERLOO IMAGING LLC |
| Practice Address |
4316 James Casey St # F-110a Austin TX 78745-1116 |
| Practice Telephone | 5124483278 |
| Mailing Telephone | 5124483278 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | JEFFREY FLUITT (MANAGER) |
| Authorized Official Telephone | 5124483278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
4316 JAMES CASEY ST # F-110A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045926 | Austin Premier Radiology P.l.l.c. | Clinic/Center | 3742 Far West Blvd, Ste 109, Austin, TX 78731-3099 | 2015-06-11 |
| 1104234962 | Capital Mri LLC | Clinic/Center | 4316 James Casey St # F-110c, Austin, TX 78745-1116 | 2014-07-24 |
| 1104234061 | Hills Imaging LLC | Clinic/Center | 4316 James Casey St # F-110b, Austin, TX 78745-1116 | 2014-07-23 |
| 1417088295 | Ara/st. David's Imaging, Lp | Clinic/Center | 2501 W William Cannon Dr Bldg 5, Austin, TX 78745-5253 | 2007-03-07 |
| 1740390335 | American Radiology Consultants, Pllc | Clinic/Center | 10644 Indigo Broom Loop, Austin, TX 78755 | 2006-08-30 |
| 1962433128 | Capital Imaging Centers | Clinic/Center | 900 W 38th Street, Suite 100, Austin, TX 78705 | 2006-07-06 |
| 1225015530 | Ara/st. David's Imaging, Lp | Clinic/Center | 1701 W Ben White Blvd, Suite 170, Austin, TX 78704-7667 | 2005-12-28 |
| 1972084432 | Mopac Imaging, Lp | Clinic/Center | 3742 Far West Blvd Ste 109, Austin, TX 78731-3044 | 2018-08-23 |
| 1629597018 | Arteries & Veins Clinic Pllc | Clinic/Center | 3107 Oak Creek Dr Ste 120, Austin, TX 78727-3025 | 2017-09-17 |
| 1184097982 | Imaging Partners of Austin LLC | Clinic/Center | 4316 James Casey St, F-110b, Austin, TX 78745-1116 | 2015-11-03 |
| Find all providers in AUSTIN | ||||
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| 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.