Organization
PREFERRED IMAGING OF PLANO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization
Contact information
Practice address
2205 N CENTRAL EXPWY., STE. 185, PLANO, TX 75075-2591
(972) 312-0799
(972) 346-6566
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(800) 730-0050
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540DC
BCBS TX
TX
05
—
205460101
—
TX
01
—
P00605406
RAILROAD MEDICARE
—
Enumeration date
10/23/2006
Last updated
10/21/2022
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