# PRESTIGE DIAGNOSTICS, LLC

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

## Provider details

- **NPI number:** 1861806283
- **Authorized official:** KATHERINE MICHELLE TAYLOR (OWNER/MANGER)
- **Authorized official phone:** (817) 887-9750

## Contact information

- **Practice address:** 6491 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
- **Practice address phone:** (817) 887-9750
- **Practice address fax:** (817) 887-9753
- **Mailing address:** 6491 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
- **Mailing address phone:** (817) 887-9750
- **Mailing address fax:** (817) 887-9753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | P00343899 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 06/13/2014