Organization Active NPI

Premier Open MRI of Plano

  • Physiological Laboratory
  • Plano, TX
National Provider Identifier
1073505848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PREMIER OPEN MRI OF PLANO
Practice address
2205 N Central Expy
Plano, TX 75075-2500
Phone
(972) 312-0799
Fax
(972) 312-8187
NPI assigned
Aug 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Conkel
Title
Facility Manager
Phone
(972) 312-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2205 N Central Expy
Plano, TX 75075-2500

Mailing address

2205 N Central Expy
Plano, TX 75075-2500
Phone (972) 312-0799

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1069640Preffered Imaging of Plano, LLC2205 N Central Expressway # 185, Plano, TX 75075Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

2205 N Central Expy
Plano, TX 75075
Phone (972) 312-0799

2205 N Central Expy
Ste 185
Plano, TX 75075
Phone (972) 312-0799

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073505848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N CENTRAL EXPY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752500",
            "telephone_number": "972-312-0799",
            "fax_number": "972-312-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N CENTRAL EXPY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752500",
            "telephone_number": "972-312-0799",
            "fax_number": "972-312-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OPEN MRI OF PLANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "972-312-0799"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.