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Organization
PREFERRED IMAGING OF DENTON, LLC
Active
Organization
PREFERRED IMAGING OF DENTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KASSA (SR VICE PRESIDENT)
(904) 515-0362
Entity
Organization
Contact information
Practice address
1614 SCRIPTURE ST, STE 2, DENTON, TX 76201-3837
(940) 387-6159
(940) 382-3875
Mailing address
PO BOX 674195, DALLAS, TX 75267-4195
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0761DC
BCBS TX
TX
05
—
220125301
—
TX
01
—
P00914666
RAILROAD MEDICARE
—
Enumeration date
05/03/2010
Last updated
04/06/2022
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