Organization
PREFERRED OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KASSA (SR VICE PRESIDENT)
(904) 515-0362
Entity
Organization
Contact information
Practice address
8405 LAKEVIEW PKWY., STE 220, ROWLETT, TX 75088-4559
(972) 412-0211
Mailing address
PO BOX 674033, DALLAS, TX 75267-4033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154217702
—
TX
Enumeration date
10/26/2006
Last updated
06/22/2022
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