Organization
PRESTIGE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SCOBLE (GENERAL MANAGER)
(817) 992-9989
Entity
Organization
Contact information
Practice address
1616 WABASH AVE, FORT WORTH, TX 76107-6528
(817) 992-9989
Mailing address
6301 ABRAMS RD STE 131, DALLAS, TX 75231-7856
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
06/24/2008
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