Provider Demographics
NPI:1871789008
Name:INFINITY IMAGING, L. P.
Entity type:Organization
Organization Name:INFINITY IMAGING, L. P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:512-517-7667
Mailing Address - Street 1:PO BOX 301946
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-0033
Mailing Address - Country:US
Mailing Address - Phone:512-789-0220
Mailing Address - Fax:512-233-2249
Practice Address - Street 1:1702 MADISON AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1813
Practice Address - Country:US
Practice Address - Phone:512-789-0220
Practice Address - Fax:512-233-2249
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DREA MEDICAL, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile