# BRIDGE MEDICAL IMAGING AT STONEBRIAR, LLC

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

## Provider details

- **NPI number:** 1740697507
- **Authorized official:** JUSTIN MAGNUSON (CEO)
- **Authorized official phone:** (214) 435-0470

## Contact information

- **Practice address:** 3550 PARKWOOD BLVD, C-302, FRISCO, TX 75034-1903
- **Practice address phone:** (469) 208-8486
- **Mailing address:** 4600 FULLER DR, 275, IRVING, TX 75038-6551
- **Mailing address phone:** (817) 430-5885
- **Mailing address fax:** (817) 430-5895

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014