Organization
PREFERRED IMAGING OF AUSTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 515-0362
Entity
Organization
Contact information
Practice address
711 W 38TH ST, SUITE B-1, AUSTIN, TX 78705-1121
(512) 420-0000
(512) 420-0003
Mailing address
PO BOX 674232, DALLAS, TX 75267-4232
(512) 420-0000
(512) 420-0003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352558601
—
TX
Enumeration date
03/10/2015
Last updated
04/06/2022
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