Organization
PREFERRED IMAGING AT THE MEDICAL CENTER LTD
Active
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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