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General NPI Number Information
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NPI Number | 1992880827
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Entity Type | Organization
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Legal Business Name | PREFERRED IMAGING AT THE MEDICAL CENTER LTD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 01/19/2018
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Provider Practice Location Address
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Address Line | 5920 FOREST PARK RD. STE 560
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City | DALLAS
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State | TX
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Zip | 75235-6400
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Country | US
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Telephone | 214-350-0708
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Fax | 214-764-3073
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Provider Business Mailing Address
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Address Line | PO BOX 674056
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City | DALLAS
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State | TX
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Zip | 75267-4056
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Country | US
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Telephone | 972-479-1115
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Fax | 972-479-1118
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Authorized Official
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Title or Position | DIRECTOR OF NETWORK DEVELOPMENT
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Name | CLERISSA HADLEY
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Credential |
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Telephone | 972-215-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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