Organization
PREFERRED IMAGING OF DENTON, 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
1614 SCRIPTURE ST, STE 2, DENTON, TX 76201-3837
(940) 387-6159
(940) 382-3875
Mailing address
PO BOX 674195, DALLAS, TX 75267-4195
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0761DC
BCBS TX
TX
05
—
220125301
—
TX
01
—
P00914666
RAILROAD MEDICARE
—
Enumeration date
05/03/2010
Last updated
04/06/2022
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