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Organization

PREFERRED IMAGING OF MESQUITE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization

Contact information

Practice address
2540 N GALLOWAY AVE, SUITE 202, MESQUITE, TX 75150-6306
(972) 681-6340
(972) 681-6342
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(972) 681-6340
(972) 681-6342

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362602001
TX
Enumeration date
03/14/2016
Last updated
04/07/2022
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