Organization
PREFERRED IMAGING ON PLANO PARKWAY, 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
5072 W PLANO PKWY STE 170, PLANO, TX 75093-4469
(972) 479-1115
(972) 346-8015
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(972) 479-1115
(972) 346-8015
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
—
205471001
—
TX
Enumeration date
01/20/2009
Last updated
04/06/2022
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