MIDTOWN MEDICAL IMAGING - FORT WORTH, LLC
NPI 1033957667
Clinic/Center - Radiology in Fort Worth, TX

Active since July 17, 2024CLIA Certified · 2 labs
1320 HEMPHILL ST STE 120, FORT WORTH, TX 76104(817) 768-5317 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midtown Medical Imaging - Fort Worth, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDTOWN MEDICAL IMAGING - FORT WORTH, LLC (NPI 1033957667) is a healthcare organization registered as a radiology in Fort Worth, Texas and active in the NPI registry since July 2024. The organization holds 2 active CLIA laboratory certificates and lists Bradley Scoble, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1033957667
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMIDTOWN MEDICAL IMAGING - FORT WORTH, LLC
Location Address1320 HEMPHILL ST STE 120Fort Worth, TX 76104-4714
Mailing Address900 Jerome St Ste 104Fort Worth, TX 76104-3939
Organization SubpartNo
Authorized OfficialBradley ScobleOwner/managing Member · (817) 768-5317
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1033957667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1320 HEMPHILL ST STE 120, Fort Worth, TX 76104

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2072255

Midtown Medical Imaging · Fort Worth, TX
Active · expires Jan 27, 2028
CLIA Number45D2072255
Laboratory TypeRadiology Imaging Ctr
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorBradley Michael Scoble
Laboratory Phone(817) 768-5317
Laboratory LocationMidtown Medical Imaging900 Jerome St, Ste 104, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2333345

Midtown Medical Imaging - Fort Worth · Fort Worth, TX
Active · expires Nov 3, 2027
CLIA Number45D2333345
Laboratory TypeDiag Imaging Center
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorRocky L. Vig
Laboratory Phone(817) 725-9230
Laboratory LocationMidtown Medical Imaging - Fort Worth1320 Hemphill St Suite 120, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midtown Medical Imaging - Fort Worth, LLC's NPI number?

The NPI number for Midtown Medical Imaging - Fort Worth, LLC is 1033957667. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Midtown Medical Imaging - Fort Worth, LLC located?

Midtown Medical Imaging - Fort Worth, LLC is located at 1320 Hemphill St Ste 120, Fort Worth, TX 76104. The listed phone number is (817) 768-5317.

What is Midtown Medical Imaging - Fort Worth, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Midtown Medical Imaging - Fort Worth, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Midtown Medical Imaging - Fort Worth, LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.