Active NPI
Premier Open MRI of Plano
- Physiological Laboratory
- Plano, TX
National Provider Identifier
1073505848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1069640 | Preffered Imaging of Plano, LLC | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Irving, TX
- NPI 1003874744
-
- Diagnostic Radiology Physician
- Richardson, TX
- NPI 1568410157
-
- Neuroradiology Physician
- Plano, TX
- NPI 1659339398
-
- Diagnostic Radiology Physician
- Richardson, TX
- NPI 1134177173
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1982662623
-
- Diagnostic Radiology Physician
- Santa Cruz, CA
- NPI 1336129600
-
- Diagnostic Radiology Physician
- Jamestown, NY
- NPI 1942258967
-
- Diagnostic Radiology Physician
- Santa Cruz, CA
- NPI 1871541524
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
- Preferred Imaging on Plano Parkway, LLC
- Premier Center of Surgical Arts, LLC
- Premier Family Medical, PA
- Premier Foot & Ankle, PLLC
- Premier Medical Center LLC
- Premise Health of Texas Medical PA (Liberty Health Center Plano)
- Premise Health of Texas Medical PA (Plano Health Center)
- Premise Health of Texas Medical PA (Be Well Health Center Plano)
- Premise Health of Texas Medical PA (Premise Health Wellness Center - Plano Nearsite)
- Helen Holmes Prentice, OT, CHT
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.