MEDICARE: PREFERRED IMAGING OF PLANO, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00605406	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0540DC	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1861575615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED IMAGING OF PLANO, LLC

Provider Business Mailing Address
First Line	:	8300 W SUNRISE BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5406
Country	:	US
Telephone Number	:	800-730-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 N CENTRAL EXPWY.
Second Line	:	STE. 185
City	:	PLANO
State	:	TX
Zip	:	75075-2591
Country	:	US
Telephone Number	:	972-312-0799
Fax Number	:	972-346-6566

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	TONI COOPER
Credential	:
Telephone Number	:	754-206-6198

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	10/21/2022

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Directions to “PREFERRED IMAGING OF PLANO, LLC ” Practice Location

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