# PREFERRED IMAGING OF DENTON, LLC

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

## Provider details

- **NPI number:** 1659698587
- **Authorized official:** MRS. LAURA KASSA (SR VICE PRESIDENT)
- **Authorized official phone:** (904) 515-0362

## Contact information

- **Practice address:** 1614 SCRIPTURE ST, STE 2, DENTON, TX 76201-3837
- **Practice address phone:** (940) 387-6159
- **Practice address fax:** (940) 382-3875
- **Mailing address:** PO BOX 674195, DALLAS, TX 75267-4195
- **Mailing address phone:** (972) 479-1115
- **Mailing address fax:** (972) 479-1118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0761DC | BCBS TX | TX |
| 05 | — | 220125301 | — | TX |
| 01 | — | P00914666 | RAILROAD MEDICARE | — |