Healthcare Provider Details

I. General information

NPI: 1861575615
Provider Name (Legal Business Name): PREFERRED IMAGING OF PLANO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 N CENTRAL EXPWY. STE. 185
PLANO TX
75075-2591
US

IV. Provider business mailing address

8300 W SUNRISE BLVD
PLANTATION FL
33322-5406
US

V. Phone/Fax

Practice location:
  • Phone: 972-312-0799
  • Fax: 972-346-6566
Mailing address:
  • Phone: 800-730-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TONI COOPER
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 754-206-6198