Organization
PREFERRED IMAGING OF IRVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
660 W LBJ FWY, IRVING, TX 75063-3711
(972) 833-6120
(972) 833-6121
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(972) 215-7410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372448601
—
TX
Enumeration date
10/12/2016
Last updated
04/07/2022
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