Organization
PRESTIGE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY PAUL (OFFICE MANAGER)
(325) 692-0872
Entity
Organization
Contact information
Practice address
1702 S CLACK ST, ABILENE, TX 79605-4611
(325) 692-0872
(325) 692-0893
Mailing address
1702 S CLACK ST, ABILENE, TX 79605-4611
(325) 692-0872
(325) 692-0893
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
06/17/2006
Last updated
04/15/2008
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