# CLEBURNE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Imaging, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568498491
- **Authorized official:** MATT H PURSER (PRESIDENT)
- **Authorized official phone:** (469) 916-8894

## Contact information

- **Practice address:** 106 HYDE PARK BLVD, SUITE 200, CLEBURNE, TX 76033-4537
- **Practice address phone:** (817) 558-1940
- **Practice address fax:** (817) 558-1960
- **Mailing address:** 106 HYDE PARK, SUITE 200, CLEBURNE, TX 76033-4537
- **Mailing address phone:** (817) 558-1940
- **Mailing address fax:** (817) 558-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 11/16/2012
