OrganizationActive
Austin Diagnostic Clinic, PA
NPI 1194790451 · Diagnostic Radiology Physician · Austin, TX
Provider details
- NPI number
- 1194790451
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen Andrew, Credentialing Specialist(512) 901-4937
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiologic Technologist247100000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12221 Mopac Expressway North
Dept of Imaging Services
Austin, TX 78758-2483
Phone: (512) 901-8729
Fax: (512) 901-8755
Street-level locationGet directions
Mailing address
12221 Mopac Expressway North
Austin, TX 78758-2483
Other names (DBA / former)
- Doing business as
- Austin Diagnostic Clinic
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2010-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.