MEDICARE: SOUTHWEST DIAGNOSTIC CENTERS LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	2085R0202X	Diagnostic Radiology Physician	TX
2	293D00000X	Physiological Laboratory	TX
3	208VP0000X	Pain Medicine Physician	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0003DC	OTHER	TX	BCBS
2	P00085382	OTHER	TX	MCARE RR

General Provider Information

NPI Number	:	1598791634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST DIAGNOSTIC CENTERS LTD

Provider Business Mailing Address
First Line	:	6000 SOUTH MOPAC
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1113
Country	:	US
Telephone Number	:	512-891-9191
Fax Number	:	512-891-1909

Provider Business Practice Location Address
First Line	:	6000 SOUTH MOPAC
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1113
Country	:	US
Telephone Number	:	512-891-9191
Fax Number	:	512-891-1909

Authorized Official
Title or Position	:	CENTER DIRECTOR
Name	:	PAULA ROACH
Credential	:
Telephone Number	:	512-891-9191

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/11/2025

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Directions to “SOUTHWEST DIAGNOSTIC CENTERS LTD ” Practice Location

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