PREFERRED IMAGING OF IRVING LLC NPI 1598215733

NPI Information

NPI: 1598215733
Provider Name: PREFERRED IMAGING OF IRVING LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D2126249

Address:
660 W LBJ FWY
IRVING, TX
ZIP 75063
Phone: (972) 833-6120
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PREFERRED IMAGING OF IRVING LLC is a radiology clinic center in Irving, TX. PREFERRED IMAGING OF IRVING LLC NPI is 1598215733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

660 W LBJ FWY
IRVING, TX
ZIP 75063-711
Phone: (972) 833-6120
Fax: (972) 833-6121

The provider's authorized official is Laura Kassa .
The authorized official title is Sr Vice President and has the following contact phone number (904) 300-2777.

The CLIA number assigned to this NPI record is 45D2126249 - other - imaging facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	372448601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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