# PRESTIGE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407014467
- **Authorized official:** BRAD SCOBLE (GENERAL MANAGER)
- **Authorized official phone:** (817) 992-9989

## Contact information

- **Practice address:** 1616 WABASH AVE, FORT WORTH, TX 76107-6528
- **Practice address phone:** (817) 992-9989
- **Mailing address:** 6301 ABRAMS RD STE 131, DALLAS, TX 75231-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 06/24/2008