Active NPI
Prestige Imaging LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Abilene, TX
National Provider Identifier
1205871019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- PRESTIGE IMAGING LLC
- Practice address
- 1702 S Clack St
Abilene, TX 79605-4611 - Phone
- (325) 692-0872
- Fax
- (325) 692-0893
- NPI assigned
- Jun 17, 2006
- 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
- Sherry Paul
- Title
- Office Manager
- Phone
- (325) 692-0872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | TX | Primary |
Addresses
Primary practice location
1702 S Clack St
Abilene, TX 79605-4611
Mailing address
1702 S Clack St
Abilene, TX 79605-4611
Phone (325) 692-0872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00305755 | Other | TX | MEDICARE RAIL ROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1205871019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054611",
"telephone_number": "325-692-0872",
"fax_number": "325-692-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054611",
"telephone_number": "325-692-0872",
"fax_number": "325-692-0893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "325-692-0872"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00305755",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- 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.