Prestige Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PRESTIGE IMAGING LLC

Practice address

1616 Wabash Ave
Fort Worth, TX 76107-6528

Phone

(817) 992-9989

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Brad Scoble

Title

General Manager

Phone

(817) 992-9989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1407014467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 ABRAMS RD STE 131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WABASH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076528",
            "telephone_number": "817-992-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SCOBLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "817-992-9989"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory Preston, MD
• Mackenzie Preston
• Prestonwood Home Health of Fort Worth Inc
• Sarah Prettel, DOULA

• Radiology Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Jun 24, 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.