Prestige Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R29470 Issued in TX

Legal business name

PRESTIGE IMAGING, LLC

Practice address

2916 N Sam Rayburn Fwy
Suite 610
Sherman, TX 75090-2546

Phone

(903) 868-2255

Fax

(903) 868-8011

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kim D Cruz

Title

Facility Director

Phone

(817) 558-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1083642656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N SAM RAYBURN FWY",
            "address_2": "SUITE 610",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902546",
            "telephone_number": "903-868-2255",
            "fax_number": "903-868-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 N SAM RAYBURN FWY",
            "address_2": "SUITE 610",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902546",
            "telephone_number": "903-868-2255",
            "fax_number": "903-868-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "817-558-1940",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R29470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00305755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellan Powers
• Tracy Dionne Powers, LPC
• Adam M Preece, DDS
• Premier Periodontics
• Premise Health of Texas Medical PA
• Brionna Preston
• Helen Katherine Price
• Kenitha D Price, LVN
• Linsay Faith Price
• Nancy Ellen Price, BSN, RN

• Radiology Clinic/Center in Sherman, TX
• Providers in Sherman, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.