Organization
PRESTIGE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE STALCUP (OFFICE MANAGER)
(469) 916-8894
Entity
Organization
Contact information
Practice address
6301 ABRAMS RD, SUITE 131, DALLAS, TX 75231-7818
(469) 916-8894
(469) 916-8897
Mailing address
6301 ABRAMS RD, SUITE 131, DALLAS, TX 75231-7818
(469) 916-8894
(469) 916-8897
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00305755
MEDICARE RAIL ROAD
TX
Enumeration date
06/11/2006
Last updated
04/15/2008
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