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Organization

PREFERRED IMAGING AT THE MEDICAL CENTER LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLERISSA HADLEY (DIRECTOR OF NETWORK DEVELOPMENT)
(972) 215-7410
Entity
Organization

Contact information

Practice address
5920 FOREST PARK RD., STE 560, DALLAS, TX 75235-6400
(214) 350-0708
(214) 764-3073
Mailing address
PO BOX 674056, DALLAS, TX 75267-4056
(972) 479-1115
(972) 479-1118

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172124301
TX
01
FTXU46
BCBS TX
TX
01
P00237806
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
01/19/2018
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